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General NPI Number Information
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NPI Number | 1528212784
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Entity Type | Organization
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Legal Business Name | EXCEL PHYSICAL THERAPY ASSOCIATES INC.
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 28901 S WESTERN AVE SUITE 315
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0828
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Country | US
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Telephone | 310-483-8500
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Fax | 310-214-9730
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Provider Business Mailing Address
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Address Line | 4720 EMERALD ST
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City | TORRANCE
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State | CA
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Zip | 90503-2810
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Country | US
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Telephone | 310-483-8500
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Fax | 310-214-9730
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Authorized Official
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Title or Position | OWNER/ PHYSICAL THERAPIST
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Name | MRS. CHERYL JEANNE HANKS-OPSATA
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Credential | PT, MHSC, MTC
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Telephone | 310-483-8500
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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 |
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License Number State |
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