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General NPI Number Information
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NPI Number | 1427576503
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Entity Type | Organization
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Legal Business Name | IPA PHYSIO OC PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 9891 IRVINE CENTER DRIVE SUITE 110
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City | IRVINE
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State | CA
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Zip | 92618
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Country | US
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Telephone | 949-232-1955
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Fax | 949-668-7822
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Provider Business Mailing Address
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Address Line | 9891 IRVINE CENTER DR STE 110
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City | IRVINE
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State | CA
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Zip | 92618-4318
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Country | US
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Telephone | 805-259-8209
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Fax |
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Authorized Official
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Title or Position | PARTNER/CLINIC DIRECTOR
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Name | PETER RUMFORD
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Credential | DPT, FAAOMPT, FFMT,
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Telephone | 949-232-1955
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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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