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General NPI Number Information
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NPI Number | 1295829299
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Entity Type | Organization
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Legal Business Name | SOCAL PHYSICAL THERAPY ASSOCIATES INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1489 E CHEVY CHASE DR
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City | GLENDALE
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State | CA
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Zip | 91206-4008
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Country | US
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Telephone | 818-409-9990
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Fax | 818-409-9991
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Provider Business Mailing Address
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Address Line | 1489 E CHEVY CHASE DR
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City | GLENDALE
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State | CA
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Zip | 91206-4008
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Country | US
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Telephone | 818-409-9990
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Fax | 818-409-9991
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Authorized Official
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Title or Position | OWNER PHYSICAL THERAPIST
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Name | MR. DILLON YOUNG CHANG
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Credential | P.T.
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Telephone | 626-905-7720
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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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