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General NPI Number Information
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NPI Number | 1518785377
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Entity Type | Organization
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Legal Business Name | UPSYSTEMS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 1611 W VERDUGO AVE
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City | BURBANK
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State | CA
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Zip | 91506-2101
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Country | US
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Telephone | 818-850-8331
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Fax | 818-859-7084
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Provider Business Mailing Address
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Address Line | 1258 E ELMWOOD AVE
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City | BURBANK
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State | CA
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Zip | 91501-1616
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Country | US
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Telephone | 818-850-8331
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Fax | 818-859-7084
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY PODGORSKI
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Credential | PT
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Telephone | 818-859-7084
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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 |
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License Number State |
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