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General NPI Number Information
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NPI Number | 1366323032
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Entity Type | Organization
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Legal Business Name | SLOOTSKY PHYSICAL MEDICINE & REHABILITATION, PC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1303 MABLE AVE
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City | MODESTO
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State | CA
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Zip | 95355-1119
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Country | US
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Telephone | 209-857-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 2365 LE CONTE AVE APT B
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City | BERKELEY
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State | CA
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Zip | 94709-1360
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | BRYAN SLOOTSKY
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Credential | DO
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Telephone | 561-702-4012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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