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General NPI Number Information
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NPI Number | 1265229132
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Entity Type | Organization
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Legal Business Name | TRIDENT PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 411 W ESPLANADE DR STE 1008
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City | OXNARD
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State | CA
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Zip | 93036-1298
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Country | US
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Telephone | 805-941-0759
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Fax |
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Provider Business Mailing Address
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Address Line | 411 W ESPLANADE DR STE 1008
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City | OXNARD
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State | CA
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Zip | 93036-1298
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS LARKIN
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Credential |
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Telephone | 805-941-0759
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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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