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General NPI Number Information
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NPI Number | 1528357019
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Entity Type | Organization
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Legal Business Name | KRAVETS PHYSICAL THERAPY,INC.
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 17777 VENTURA BLVD # 103
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City | ENCINO
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State | CA
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Zip | 91316-3717
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Country | US
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Telephone | 818-521-5265
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Fax | 818-704-3862
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Provider Business Mailing Address
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Address Line | 5154 DEL MORENO DR
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2426
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Country | US
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Telephone | 818-521-5265
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Fax | 818-704-3862
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. ELENA KRAVETS
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Credential | MPT
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Telephone | 818-521-5265
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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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