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General NPI Number Information
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NPI Number | 1366470981
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Entity Type | Organization
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Legal Business Name | ALTIMA HEALTHCARE INC
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10600 SEPULVEDA BLVD STE 111
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City | MISSION HILLS
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State | CA
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Zip | 91345-1971
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Country | US
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Telephone | 818-838-0667
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Fax |
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Provider Business Mailing Address
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Address Line | 10600 SEPULVEDA BLVD STE 111
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City | MISSION HILLS
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State | CA
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Zip | 91345-1971
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Country | US
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Telephone | 818-838-0667
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS BRAIN
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Credential | RPT
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Telephone | 818-838-0667
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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 | CA
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