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General NPI Number Information
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NPI Number | 1558055921
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Entity Type | Organization
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Legal Business Name | PARACLETE 38 PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 7320 WOODLAKE AVE STE 275
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City | WEST HILLS
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State | CA
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Zip | 91307-1477
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Country | US
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Telephone | 818-322-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 WOODLAKE AVE STE 275
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City | WEST HILLS
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State | CA
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Zip | 91307-1477
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Country | US
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Telephone | 747-226-0029
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Fax | 747-226-0583
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENJAMIN YAMBAO NABONG
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Credential |
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Telephone | 818-322-9700
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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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