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General NPI Number Information
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NPI Number | 1245511823
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Entity Type | Organization
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Legal Business Name | SELECT PHYSICAL THERAPY AND REHAB, INC
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 14624 SHERMAN WAY UNIT 404B
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City | VAN NUYS
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State | CA
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Zip | 91405-2241
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Country | US
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Telephone | 818-912-7091
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Fax | 818-884-8108
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Provider Business Mailing Address
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Address Line | 14624 SHERMAN WAY UNIT 404B
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City | VAN NUYS
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State | CA
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Zip | 91405-2241
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Country | US
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Telephone | 818-912-7091
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Fax | 818-884-8108
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Authorized Official
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Title or Position | OWNER
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Name | PARVIN MOHEBBAN
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Credential | RPT
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Telephone | 818-912-7091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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