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General NPI Number Information
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NPI Number | 1487152930
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Entity Type | Organization
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Legal Business Name | CHIEF PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 26075 JEFFERSON AVE
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City | MURRIETA
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State | CA
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Zip | 92562-6983
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Country | US
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Telephone | 951-696-1838
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Fax | 951-696-2677
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Provider Business Mailing Address
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Address Line | 32551 GALATINA ST
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City | TEMECULA
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State | CA
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Zip | 92592-3880
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Country | US
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Telephone | 951-422-1121
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW A ALLEN
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Credential | DPT
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Telephone | 951-696-1838
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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 | 37899
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License Number State | CA
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