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General NPI Number Information
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NPI Number | 1285746438
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Entity Type | Organization
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Legal Business Name | PILATES OF TORREY HILLS INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4765 CARMEL MOUNTAIN RD SUITE 202
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City | SAN DIEGO
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State | CA
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Zip | 92130-6657
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Country | US
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Telephone | 858-847-0044
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Fax | 858-847-0044
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Provider Business Mailing Address
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Address Line | 4102 MORAGA AVE
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City | SAN DIEGO
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State | CA
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Zip | 92117-4541
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Country | US
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Telephone | 858-270-4653
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Fax |
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Authorized Official
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Title or Position | OWNER, PYHSICAL THERAPIST
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Name | DOREEN B HALL
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Credential | PT
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Telephone | 858-847-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 16511
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License Number State | CA
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