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General NPI Number Information
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NPI Number | 1437209590
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Entity Type | Individual
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Provider Name | BEATRICE ARCILLA MERZA P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4160 WILSHIRE BLVD SUITE 302
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City | LOS ANGELES
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State | CA
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Zip | 90010-3500
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Country | US
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Telephone | 323-965-9645
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Fax |
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Provider Business Mailing Address
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Address Line | 32230 GREEN HILL DR
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City | CASTAIC
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State | CA
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Zip | 91384-3018
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Country | US
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Telephone | 661-702-0336
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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 | PT26836
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License Number State | CA
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