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NPI 1386399558

NPI 1386399558 : SEAN HAMPTON GLOBAL PHYSICAL THERAPY CORP : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1386399558
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEAN HAMPTON GLOBAL PHYSICAL THERAPY CORP 
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Dates
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    Enumeration Date     |    02/16/2022
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    Last Update Date     |    02/16/2022
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Provider Practice Location Address
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    Address Line         |    11677 SAN VICENTE BLVD STE 207 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90049-5128
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    Country              |    US
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    Telephone            |    310-331-8544
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    Fax                  |    310-407-0301
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Provider Business Mailing Address
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    Address Line         |    11901 WOODBINE ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90066-2026
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    Country              |    US
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    Telephone            |    310-721-0665
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    Fax                  |    310-407-0301
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. MICHAEL SEAN HAMPTON 
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    Credential           |    MPT
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    Telephone            |    310-721-0665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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