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General NPI Number Information
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NPI Number | 1245418748
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY & ORTHOPEDIC REHABILITATION,INC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 9301 WILSHIRE BLVD STE 502
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6147
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Country | US
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Telephone | 310-275-2800
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Fax | 310-275-2886
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Provider Business Mailing Address
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Address Line | 9301 WILSHIRE BLVD STE 502
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6147
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Country | US
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Telephone | 310-275-2800
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Fax | 310-275-2886
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN ONEIL
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Credential | PT
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Telephone | 310-275-2800
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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 | PT27376
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License Number State | CA
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