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General NPI Number Information
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NPI Number | 1487099727
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Entity Type | Organization
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Legal Business Name | HEALING CARE ALLIES INC
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 9955 DE SOTO AVE # 1
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City | CHATSWORTH
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State | CA
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Zip | 91311-4202
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Country | US
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Telephone | 831-566-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 9955 DE SOTO AVE # 1
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City | CHATSWORTH
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State | CA
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Zip | 91311-4202
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Country | US
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Telephone | 831-566-4510
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ANNAVAL DACANAY VILLAFUERTE
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Credential | PT, GCS, CLT, WCC
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Telephone | 831-566-4510
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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 | PT32295
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License Number State | CA
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