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General NPI Number Information
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NPI Number | 1396601704
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Entity Type | Organization
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Legal Business Name | KYLE JORDAN PHYSICAL THERAPY CONSULTING PC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 34207 PACIFIC COAST HWY
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City | DANA POINT
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State | CA
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Zip | 92629-2849
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Country | US
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Telephone | 818-421-4745
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Fax |
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Provider Business Mailing Address
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Address Line | 232 AVENIDA ARAGON # B
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-5015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KYLE OLANDT
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Credential |
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Telephone | 818-421-4745
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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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