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General NPI Number Information
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NPI Number | 1265483358
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 7414 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-2725
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Country | US
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Telephone | 323-549-3904
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Fax | 323-938-7061
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Provider Business Mailing Address
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Address Line | 3820 AMERICAN DR SUITE 340
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City | PLANO
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State | TX
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Zip | 75075-6101
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Country | US
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Telephone | 469-467-8705
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Fax | 267-321-2550
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | CYNTHIA L. GOLDBERG
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Credential |
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Telephone | 610-644-7824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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