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General NPI Number Information
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NPI Number | 1396102968
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Entity Type | Organization
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Legal Business Name | N-CARE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 9550 W VAN BUREN ST STE 14A
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City | TOLLESON
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State | AZ
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Zip | 85353-2828
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Country | US
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Telephone | 623-322-4917
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Fax |
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Provider Business Mailing Address
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Address Line | 3512 CARMONA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90016-5023
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Country | US
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Telephone | 323-261-6100
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Fax | 877-400-0084
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TOMAS E ABRAHAM
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Credential | MPT
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Telephone | 323-261-6100
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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 | 5948
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License Number State | AZ
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