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NPI 1609929975

NPI 1609929975 : ARLEEN D THOMAS PT, OWNER : CONCORD, CA

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General NPI Number Information
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    NPI Number           |    1609929975
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    Entity Type          |    Individual 
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    Provider Name        |    ARLEEN D THOMAS PT, OWNER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    01/23/2013
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Provider Practice Location Address
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    Address Line         |    1220 DIAMOND WAY STE 120
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520-5286
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    Country              |    US
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    Telephone            |    925-566-8670
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    Fax                  |    925-566-8671
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Provider Business Mailing Address
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    Address Line         |    1220 DIAMOND WAY STE 120
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94520-5286
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    Country              |    US
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    Telephone            |    925-566-8670
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    Fax                  |    925-566-8671
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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       |    PT18900
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    License Number State |    CA
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