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General NPI Number Information
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NPI Number | 1265285548
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Entity Type | Organization
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Legal Business Name | IN FLOW INTEGRATIVE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 510 S MATHILDA AVE STE 10
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City | SUNNYVALE
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State | CA
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Zip | 94086-7609
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Country | US
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Telephone | 408-475-2154
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Fax |
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Provider Business Mailing Address
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Address Line | 510 S MATHILDA AVE STE 10
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City | SUNNYVALE
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State | CA
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Zip | 94086-7609
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Country | US
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Telephone | 408-475-2154
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANASTASIIA RUKAVYSHNYKOVA
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Credential | PT, DPT
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Telephone | 408-475-2154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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