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NPI 1417081449

NPI 1417081449 : REGINALD COCIFFI-POINTDUJOUR PT, DPT : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1417081449
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    Entity Type          |    Individual 
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    Provider Name        |    REGINALD COCIFFI-POINTDUJOUR PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    05/02/2022
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Provider Practice Location Address
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    Address Line         |    3215 OVERLAND AVE APT 8176 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90034-4546
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    Country              |    US
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    Telephone            |    323-300-4198
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3215 OVERLAND AVE APT 8176 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90034-4546
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    Country              |    US
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    Telephone            |    323-300-4198
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    029143
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    35053
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    License Number State |    CA
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