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General NPI Number Information
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NPI Number | 1568917599
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Entity Type | Organization
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Legal Business Name | ART OF REHAB PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 08/19/2016
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Provider Practice Location Address
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Address Line | 26446 FRESNO DR
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City | MISSION VIEJO
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State | CA
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Zip | 92691-1513
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Country | US
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Telephone | 949-689-9004
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Fax |
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Provider Business Mailing Address
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Address Line | 460 OLD NEWPORT BLVD
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4211
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Country | US
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Telephone | 949-689-9004
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Fax | 949-258-5787
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Authorized Official
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Title or Position | PRESIDENT/PROVIDER
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Name | PARTH PATEL
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Credential | DPT
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Telephone | 949-689-9004
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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 | 38468
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License Number State | CA
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