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General NPI Number Information
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NPI Number | 1407455066
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Entity Type | Organization
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Legal Business Name | CARE IN MOTION PHYSICAL THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 10/23/2020
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Provider Practice Location Address
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Address Line | 14513 RIO BLANCO RD
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City | LA MIRADA
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State | CA
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Zip | 90638-4430
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Country | US
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Telephone | 562-881-4431
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Fax |
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Provider Business Mailing Address
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Address Line | 14513 RIO BLANCO RD
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City | LA MIRADA
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State | CA
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Zip | 90638-4430
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Country | US
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Telephone | 562-881-4431
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARI MAGNOLIA JASMIN BESINGA
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Credential | PHYSICAL THERAPIST
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Telephone | 562-881-4431
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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 |
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License Number State |
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