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NPI 1497794895

NPI 1497794895 : MARLENE FRANKIEL PHYSICAL THERAPY INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1497794895
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARLENE FRANKIEL PHYSICAL THERAPY INC. 
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Dates
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    Enumeration Date     |    06/05/2006
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    Last Update Date     |    11/08/2007
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Provider Practice Location Address
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    Address Line         |    10530 TENNESSEE AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90064-2328
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    Country              |    US
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    Telephone            |    310-508-1559
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    Fax                  |    310-470-3516
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Provider Business Mailing Address
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    Address Line         |    10530 TENNESSEE AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90064-2328
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    Country              |    US
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    Telephone            |    310-508-1559
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    Fax                  |    310-470-3516
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARLENE BETH FRANKIEL 
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    Credential           |    P.T.
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    Telephone            |    310-508-1559
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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       |    11842
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    License Number State |    CA
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