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General NPI Number Information
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NPI Number | 1588781264
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Entity Type | Individual
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Provider Name | DIANA AIMEE REISS PT, DPT, OCS
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 432 N PALM DR 207
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-3951
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Country | US
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Telephone | 323-965-7713
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Fax | 323-978-6860
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Provider Business Mailing Address
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Address Line | 432 N PALM DR 207
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-3951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT29826
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 049595
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License Number State | NY
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