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General NPI Number Information
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NPI Number | 1225593601
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Entity Type | Organization
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Legal Business Name | TRUSELF TRAINING, INC
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Dates
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Enumeration Date | 02/09/2019
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Last Update Date | 02/09/2019
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Provider Practice Location Address
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Address Line | 5125 WARING ROAD
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City | SAN DIEGO
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State | CA
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Zip | 92120
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Country | US
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Telephone | 619-431-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 5125 WARING RD
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City | SAN DIEGO
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State | CA
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Zip | 92120-2705
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Country | US
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Telephone | 619-431-5407
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | JOSH PEREZ
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Credential |
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Telephone | 619-431-5407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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