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General NPI Number Information
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NPI Number | 1518257120
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Entity Type | Organization
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Legal Business Name | GLOBAL PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 05/07/2012
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Provider Practice Location Address
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Address Line | 72047 DINAH SHORE DR SUITE C3
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-1790
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Country | US
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Telephone | 909-327-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 25573 STATE ST
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City | LOMA LINDA
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State | CA
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Zip | 92354-2428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NANCY AZIZ
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Credential |
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Telephone | 909-327-5355
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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 | 15402
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License Number State | CA
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