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General NPI Number Information
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NPI Number | 1427067073
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Entity Type | Organization
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Legal Business Name | RISING SUN PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 500 SUTTER STREET STE 512
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1114
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Country | US
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Telephone | 415-282-4083
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Fax | 415-362-4084
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Provider Business Mailing Address
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Address Line | 500 SUTTER ST STE 512
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1114
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Country | US
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Telephone | 415-282-4083
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Fax | 415-362-4084
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | MISS BETTINA KIRA NEUMANN
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Credential | PT
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Telephone | 415-282-4083
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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 | PT 18458
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License Number State | CA
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