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General NPI Number Information
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NPI Number | 1295132736
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Entity Type | Organization
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Legal Business Name | ATLAS PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 11/27/2014
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 21115 FREEDOM DR
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City | CUPERTINO
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State | CA
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Zip | 95014-5705
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Country | US
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Telephone | 408-505-8504
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Fax |
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Provider Business Mailing Address
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Address Line | 21115 FREEDOM DR
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City | CUPERTINO
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State | CA
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Zip | 95014-5705
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Country | US
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Telephone | 408-505-8504
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CLAIRE UNABIA
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Credential | PHYSICAL THERAPIST
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Telephone | 408-505-8504
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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 | 40282
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License Number State | CA
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