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General NPI Number Information
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NPI Number | 1295283596
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Entity Type | Organization
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Legal Business Name | KINETICA PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 5300 WOODMERE DR STE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2797
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Country | US
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Telephone | 661-831-7515
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Fax | 661-831-7512
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Provider Business Mailing Address
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Address Line | 5300 WOODMERE DR STE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2797
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Country | US
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Telephone | 661-831-7515
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Fax | 661-831-7512
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Authorized Official
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Title or Position | COO
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Name | MR. JOHN CATACUTAN RAMOS
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Credential | PTA
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Telephone | 661-831-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | PT33905
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License Number State | CA
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