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General NPI Number Information
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NPI Number | 1407002561
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Entity Type | Organization
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Legal Business Name | PT PLUS REHAB, INC
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 7860 IMPERIAL HWY C
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City | DOWNEY
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State | CA
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Zip | 90242-3464
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Country | US
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Telephone | 562-869-8525
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Fax | 562-866-7786
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Provider Business Mailing Address
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Address Line | 24 HAMMOND UNIT C
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City | IRVINE
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State | CA
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Zip | 92618-1680
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Country | US
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Telephone | 949-770-6022
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Fax | 949-770-7084
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Authorized Official
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Title or Position | OWNER
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Name | LINDA FITZGERALD
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Credential |
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Telephone | 949-595-8635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 3121618
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License Number State | CA
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