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General NPI Number Information
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NPI Number | 1457201907
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Entity Type | Organization
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Legal Business Name | ATHLETIC RECOVERY & PERFORMANCE, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 555 W LAMBERT RD STE J
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City | BREA
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State | CA
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Zip | 92821-3917
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Country | US
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Telephone | 714-525-1318
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Fax | 714-698-4932
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Provider Business Mailing Address
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Address Line | PO BOX 2067
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City | FULLERTON
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State | CA
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Zip | 92837-0067
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Country | US
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Telephone | 714-525-1318
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Fax | 714-698-4932
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. SUZANNE KJENSTAD
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Credential |
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Telephone | 714-525-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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