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General NPI Number Information
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NPI Number | 1285752097
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Entity Type | Individual
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Provider Name | THELMA NONE NERI P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2040 PACIFIC COAST HWY SUITE S
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City | LOMITA
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State | CA
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Zip | 90717-2660
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Country | US
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Telephone | 310-257-6493
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Fax | 310-257-6295
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Provider Business Mailing Address
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Address Line | 23050 NICOLLE AVE
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City | CARSON
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State | CA
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Zip | 90745-4734
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Country | US
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Telephone | 310-549-7082
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT5393
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License Number State | CA
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