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General NPI Number Information
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NPI Number | 1386776946
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Entity Type | Organization
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Legal Business Name | ROB ROSENBERRY PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 320 ALISAL RD SUITE # 406
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City | SOLVANG
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State | CA
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Zip | 93463-3735
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Country | US
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Telephone | 805-688-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 320 ALISAL RD SUITE # 406
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City | SOLVANG
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State | CA
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Zip | 93463-3735
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Country | US
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Telephone | 805-688-5000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT A ROSENBERRY
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Credential | PT
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Telephone | 805-688-5000
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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 | 11864
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License Number State | CA
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