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General NPI Number Information
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NPI Number | 1316651763
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Entity Type | Organization
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Legal Business Name | ROSS & GAUTMAN THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 2580 GANAHL ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-2015
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Country | US
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Telephone | 646-644-4260
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Fax | 323-366-4260
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Provider Business Mailing Address
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Address Line | 2580 GANAHL ST
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City | LOS ANGELES
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State | CA
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Zip | 90033-2015
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Country | US
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Telephone | 626-644-6336
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Fax | 323-366-4260
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Authorized Official
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Title or Position | OWNER
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Name | SAVANAH ROSS
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Credential | PTA
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Telephone | 626-644-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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