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General NPI Number Information
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NPI Number | 1255571196
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Entity Type | Organization
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Legal Business Name | CAMPUS PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 101 S SAN MATEO DR STE 200
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City | SAN MATEO
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State | CA
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Zip | 94401-3843
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Country | US
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Telephone | 650-994-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 901 CAMPUS DR STE 213
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City | DALY CITY
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State | CA
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Zip | 94015-4930
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Country | US
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Telephone | 650-994-7800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LUIS E ARANEDA
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Credential | PT
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Telephone | 650-994-7800
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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 | PT15832
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License Number State | CA
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