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General NPI Number Information
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NPI Number | 1437311149
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Entity Type | Organization
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Legal Business Name | TOTAL CARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 69844 HIGHWAY 111 STE# D
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2849
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Country | US
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Telephone | 760-321-1613
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Fax | 760-321-2863
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Provider Business Mailing Address
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Address Line | 69844 HIGHWAY 111 STE# D
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2849
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Country | US
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Telephone | 760-321-1613
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Fax | 760-321-2863
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Authorized Official
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Title or Position | OWNER
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Name | MR. RADU GHEORGHIU
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Credential | R.P.T
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Telephone | 760-321-1613
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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 | PT19373
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License Number State | CA
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