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General NPI Number Information
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NPI Number | 1376525840
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Entity Type | Organization
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Legal Business Name | RICHARD P CARR PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 500 E CALAVERAS BLVD SUITE 112
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City | MILPITAS
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State | CA
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Zip | 95035-7703
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Country | US
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Telephone | 408-934-4700
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Fax | 408-934-4701
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Provider Business Mailing Address
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Address Line | 500 E CALAVERAS BLVD SUITE 112
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City | MILPITAS
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State | CA
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Zip | 95035-7703
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Country | US
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Telephone | 408-934-4700
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Fax | 408-934-4701
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ANNE LASSON
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Credential | VP
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Telephone | 408-570-0510
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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 |
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