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General NPI Number Information
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NPI Number | 1558569574
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Entity Type | Organization
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Legal Business Name | A.O.S. PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 729 SUNRISE AVE SUITE 602
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City | ROSEVILLE
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State | CA
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Zip | 95661-4565
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Country | US
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Telephone | 530-885-3940
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Fax |
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Provider Business Mailing Address
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Address Line | 11879 KEMPER RD STE 4
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City | AUBURN
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State | CA
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Zip | 95603-9021
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Country | US
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Telephone | 530-885-3940
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Fax | 530-885-3984
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH NICHOLAS RANALLA
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Credential | P.T.
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Telephone | 530-885-3940
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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 | 7735
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License Number State | CA
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