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General NPI Number Information
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NPI Number | 1326264128
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Entity Type | Individual
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Provider Name | ARIF DEAN P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 9985 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-6720
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Country | US
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Telephone | 909-427-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 COLGATE PL
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City | REDLANDS
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State | CA
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Zip | 92374-3655
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Country | US
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Telephone | 909-335-0229
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT32630
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License Number State | CA
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