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General NPI Number Information
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NPI Number | 1235485624
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Entity Type | Individual
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Provider Name | KRISTEN K TRAINA DPT
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Gender | Female
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 16101 VENTURA BLVD STE# 336
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City | ENCINO
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State | CA
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Zip | 91436-2500
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Country | US
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Telephone | 818-905-1331
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Fax | 818-905-8836
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Provider Business Mailing Address
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Address Line | 1573 FLYNN RD #1309
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City | CAMARILLO
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State | CA
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Zip | 93012-5800
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Country | US
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Telephone | 786-514-3708
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT39218
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License Number State | CA
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