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General NPI Number Information
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NPI Number | 1295133486
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Entity Type | Organization
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Legal Business Name | ALLEGRO PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/20/2014
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Last Update Date | 12/20/2014
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Provider Practice Location Address
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Address Line | 7220 TRADE ST STE 103
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City | SAN DIEGO
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State | CA
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Zip | 92121-2325
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Country | US
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Telephone | 619-363-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 ISLAND AVE UNIT 113
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City | SAN DIEGO
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State | CA
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Zip | 92101-7259
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | LEAH ALBERSON
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Credential | DPT, OCS
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Telephone | 619-363-2525
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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 | 39202
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License Number State | CA
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