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General NPI Number Information
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NPI Number | 1386142362
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Entity Type | Organization
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Legal Business Name | ZENERGY PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 910 CAMINO DEL MAR
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 858-792-1124
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Fax | 858-792-1115
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Provider Business Mailing Address
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Address Line | 10313 SILVER PINE WAY
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City | SAN DIEGO
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State | CA
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Zip | 92127-2833
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Country | US
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Telephone | 858-227-3267
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Fax | 858-227-3267
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Authorized Official
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Title or Position | PT
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Name | RACHEL N MADRID
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Credential |
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Telephone | 858-792-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25668
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License Number State | CA
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