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General NPI Number Information
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NPI Number | 1235165515
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Entity Type | Organization
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Legal Business Name | WESTERN PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 9341 MIDWAY SUITE C
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City | DURHAM
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State | CA
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Zip | 95938-9785
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Country | US
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Telephone | 530-343-2010
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Fax | 530-343-2012
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Provider Business Mailing Address
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Address Line | PO BOX 493396
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City | REDDING
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State | CA
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Zip | 96049-3396
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Country | US
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Telephone | 530-221-9952
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Fax | 530-221-9954
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Authorized Official
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Title or Position | CO-OWNER PHYSICAL THERAPIST
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Name | DONALD ROY BAAS
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Credential | P.T.
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Telephone | 530-221-9952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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