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General NPI Number Information
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NPI Number | 1528927944
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Entity Type | Individual
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Provider Name | KAMRYN ELGERSMA
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Gender | Female
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 2101 E EL SEGUNDO BLVD
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4518
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Country | US
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Telephone | 310-670-6683
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Fax |
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Provider Business Mailing Address
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Address Line | 417 ROBINHOOD LN
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City | REDLANDS
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State | CA
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Zip | 92373-5705
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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 |
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Name |
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Credential |
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Telephone |
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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 | PT308479
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License Number State | CA
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