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General NPI Number Information
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NPI Number | 1538608807
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Entity Type | Organization
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Legal Business Name | NEUROFIT INSTITUTE PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 02/19/2017
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 2385 CAMINO VIDA ROBLE STE 105
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City | CARLSBAD
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State | CA
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Zip | 92011-1547
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Country | US
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Telephone | 347-565-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 CAMINO VIDA ROBLE STE 105
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City | CARLSBAD
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State | CA
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Zip | 92011-1547
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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 | PRESIDENT
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Name | DR. NIMA TABLOEI
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Credential | PT, DPT, MPH
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Telephone | 760-274-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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