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General NPI Number Information
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NPI Number | 1427155746
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Entity Type | Organization
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Legal Business Name | ALVES & MARTINEZ PHYSICAL THERAPY AND ATHLETIC PERFORMANCE
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9381 E. STOCKTON BLVD. SUITE 108
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City | ELK GROVE
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State | CA
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Zip | 95624
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Country | US
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Telephone | 916-686-5070
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Fax | 916-686-5077
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Provider Business Mailing Address
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Address Line | 9381 E. STOCKTON BLVD. SUITE 108
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City | ELK GROVE
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State | CA
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Zip | 95624
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Country | US
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Telephone | 916-686-5070
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Fax | 916-686-5077
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM MARTINEZ
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Credential | P.T.
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Telephone | 916-686-5070
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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 |
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License Number State |
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