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General NPI Number Information
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NPI Number | 1295381671
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Entity Type | Organization
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Legal Business Name | CROOKS PHYSICAL THERAPY AND SPORTS PC
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 10390 SANTA MONICA BLVD STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90025-6960
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Country | US
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Telephone | 310-659-9911
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Fax | 323-852-7105
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Provider Business Mailing Address
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Address Line | 10390 SANTA MONICA BLVD STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90025-6960
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Country | US
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Telephone | 310-659-9911
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Fax | 323-852-7105
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Authorized Official
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Title or Position | OWNER
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Name | NICK CROOKS
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Credential | DPT
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Telephone | 310-953-6003
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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 |
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License Number State |
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