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General NPI Number Information
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NPI Number | 1477056273
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Entity Type | Organization
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Legal Business Name | ACCESS THERAPY LLC
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Dates
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Enumeration Date | 03/18/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 3790 FONTVEILLE CT
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City | SAN JOSE
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State | CA
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Zip | 95127-2147
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Country | US
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Telephone | 408-753-0775
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Fax | 405-385-2511
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Provider Business Mailing Address
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Address Line | 3790 FONTVEILLE CT
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City | SAN JOSE
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State | CA
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Zip | 95127-2147
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Country | US
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Telephone | 408-753-0775
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Fax | 405-385-2511
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Authorized Official
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Title or Position | COO
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Name | ABIGAIL VICENCIO CABRAL
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Credential | PT
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Telephone | 408-753-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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