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General NPI Number Information
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NPI Number | 1376204438
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Entity Type | Organization
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Legal Business Name | FLINTRIDGE PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/31/2021
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Last Update Date | 12/31/2021
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Provider Practice Location Address
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Address Line | 2520 HONOLULU AVE STE 150
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City | MONTROSE
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State | CA
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Zip | 91020-1853
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Country | US
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Telephone | 818-378-1228
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Fax | 800-418-6870
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Provider Business Mailing Address
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Address Line | 2520 HONOLULU AVE STE 150
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City | MONTROSE
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State | CA
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Zip | 91020-1853
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Country | US
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Telephone | 818-378-1228
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Fax | 800-418-6870
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Authorized Official
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Title or Position | CEO
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Name | ANDRE BRANDON DARBIDIAN
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Credential | DPT
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Telephone | 818-378-1228
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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 |
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License Number State |
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