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General NPI Number Information
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NPI Number | 1285796961
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY AND REHABILITATION CENTER OF HEMET INC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 43725 MANDARIN DR
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City | HEMET
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State | CA
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Zip | 92544-8529
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Country | US
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Telephone | 951-634-4898
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Fax | 951-927-7507
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Provider Business Mailing Address
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Address Line | 43725 MANDARIN DR
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City | HEMET
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State | CA
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Zip | 92544-8529
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Country | US
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Telephone | 951-634-4898
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Fax | 951-927-7507
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAULA DENISE LAWRENCE
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Credential | P.T.
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Telephone | 951-634-4898
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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 | 15054
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License Number State | CA
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