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General NPI Number Information
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NPI Number | 1528145232
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Entity Type | Organization
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Legal Business Name | BIOFEEDBACK AND ADVANCED THERAPY INSTITUTE INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 3250 WILSHIRE BLVD SUITE 1505
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City | LOS ANGELES
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State | CA
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Zip | 90010-1608
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Country | US
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Telephone | 213-384-2330
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Fax | 213-384-2320
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Provider Business Mailing Address
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Address Line | 3250 WILSHIRE BLVD SUITE 1505
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City | LOS ANGELES
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State | CA
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Zip | 90010-1608
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Country | US
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Telephone | 213-384-2330
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Fax | 213-384-2320
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CYNTHIA LOUISE TAYLOR
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Credential | VP
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Telephone | 213-384-2330
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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 | PT5908
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License Number State | CA
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