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NPI 1407771116

NPI 1407771116 : BEST PHYSICAL THERAPY AND WELLNESS, INC. : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1407771116
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEST PHYSICAL THERAPY AND WELLNESS, INC. 
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Dates
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    Enumeration Date     |    08/11/2026
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    Last Update Date     |    08/11/2026
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Provider Practice Location Address
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    Address Line         |    291 CONFERENCE CENTER DR 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95678-1388
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    Country              |    US
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    Telephone            |    919-213-0504
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1714 CANTERBURY RD 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27608-1110
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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                 |     MARC  DOUEK 
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    Credential           |    
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    Telephone            |    919-327-7697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    133N00000X
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    Taxonomy Name        |    Nutritionist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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