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General NPI Number Information
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NPI Number | 1609976158
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Entity Type | Organization
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Legal Business Name | N-CARE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 8905 VENICE BLVD STE 106
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City | LOS ANGELES
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State | CA
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Zip | 90034-3340
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Country | US
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Telephone | 424-298-8005
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Fax | 877-408-2776
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Provider Business Mailing Address
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Address Line | 10021 TABOR STREET UNIT 215
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City | LOS ANGELES
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State | CA
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Zip | 90034
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Country | US
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Telephone | 877-400-0084
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TOMAS ERMIAS ABRAHAM
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Credential | RPT
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Telephone | 424-298-8005
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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 | PT27774
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License Number State | CA
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