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General NPI Number Information
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NPI Number | 1265668958
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Entity Type | Organization
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Legal Business Name | SUMMIT-ONE PHYSICAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 19444 NORWALK BLVD
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City | CERRITOS
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State | CA
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Zip | 90703-7158
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Country | US
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Telephone | 562-860-8880
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Fax | 562-860-3887
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Provider Business Mailing Address
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Address Line | 19444 NORWALK BLVD
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City | CERRITOS
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State | CA
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Zip | 90703-7158
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Country | US
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Telephone | 562-860-8880
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Fax | 562-860-3887
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VOLTAIRE A ALFONSO
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Credential |
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Telephone | 562-860-8880
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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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