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General NPI Number Information
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NPI Number | 1598994758
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Entity Type | Organization
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Legal Business Name | ADJUST PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 5950 SANTO RD STE D
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City | SAN DIEGO
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State | CA
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Zip | 92124-1197
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Country | US
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Telephone | 858-715-3878
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Fax | 858-715-3879
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Provider Business Mailing Address
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Address Line | 5950 SANTO RD STE D
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City | SAN DIEGO
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State | CA
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Zip | 92124-1197
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Country | US
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Telephone | 858-715-3878
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Fax | 858-715-3879
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN MCDONALD
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Credential | PT22192
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Telephone | 858-715-3878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT22192
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License Number State | CA
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