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General NPI Number Information
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NPI Number | 1508108440
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Entity Type | Organization
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Legal Business Name | ADEPT PHYSICAL THERAPY SERVICES , P. C.
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 5576 FOXTAIL LOOP
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City | CARLSBAD
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State | CA
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Zip | 92010-7152
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Country | US
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Telephone | 760-889-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 5576 FOXTAIL LOOP
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City | CARLSBAD
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State | CA
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Zip | 92010-7152
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Country | US
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Telephone | 760-889-5544
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DINAH DOMINGO FELICIANO
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Credential | PT
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Telephone | 760-889-5544
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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 | PT 26095
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 25676
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License Number State | CA
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