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General NPI Number Information
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NPI Number | 1336433408
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY OF TEMECULA
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 31515 RANCHO PUEBLO RD SUITE 101
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City | TEMECULA
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State | CA
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Zip | 92592-4836
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Country | US
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Telephone | 951-281-2901
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Fax | 951-281-2902
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Provider Business Mailing Address
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Address Line | 31515 RANCHO PUEBLO RD SUITE 101
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City | TEMECULA
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State | CA
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Zip | 92592-4836
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Country | US
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Telephone | 951-281-2901
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Fax | 951-281-2902
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CATHY VO
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Credential |
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Telephone | 951-281-2901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 20785
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License Number State | CA
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