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General NPI Number Information
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NPI Number | 1548483340
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Entity Type | Organization
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Legal Business Name | HILLCREST PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 365 S RANCHO SANTA FE RD
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City | SAN MARCOS
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State | CA
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Zip | 92078-2338
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Country | US
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Telephone | 760-471-9953
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 HYGEIA AVE
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City | ENCINITAS
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State | CA
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Zip | 92024-1708
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Country | US
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Telephone | 760-632-5552
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DONALD LINDEN PERRY
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Credential | PT
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Telephone | 760-632-5552
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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 | PT2615
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License Number State | CA
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