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General NPI Number Information
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NPI Number | 1568580702
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Entity Type | Organization
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Legal Business Name | BARBIE THOMAS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 25125 CLINTON KEITH RD
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City | WILDOMAR
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State | CA
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Zip | 92595-7708
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Country | US
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Telephone | 951-218-6787
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Fax | 951-813-3899
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Provider Business Mailing Address
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Address Line | 25125 CLINTON KEITH RD
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City | WILDOMAR
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State | CA
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Zip | 92595-7708
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Country | US
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Telephone | 951-218-6787
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Fax | 951-813-3899
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA ANN THOMAS
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Credential | M.P.T.
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Telephone | 951-218-6787
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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 | PT20758
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License Number State | CA
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