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General NPI Number Information
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NPI Number | 1366526121
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Entity Type | Individual
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Provider Name | ERIC SCOTT SORENSEN P.T.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1822 W KETTLEMAN LN STE 1
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City | LODI
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State | CA
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Zip | 95242-4218
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Country | US
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Telephone | 209-368-1678
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 LAUREL AVE
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City | LODI
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State | CA
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Zip | 95242-2340
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Country | US
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Telephone | 209-369-3994
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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 | 0PT14001
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License Number State | CA
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