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General NPI Number Information
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NPI Number | 1619934528
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Entity Type | Organization
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Legal Business Name | PILLARS PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 307 87TH STREET SUITE D
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City | DALY CITY
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State | CA
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Zip | 94015
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Country | US
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Telephone | 650-550-0050
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Fax | 650-550-0070
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Provider Business Mailing Address
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Address Line | 307 87TH STREET SUITE D
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City | DALY CITY
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State | CA
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Zip | 94015
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Country | US
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Telephone | 650-550-0050
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Fax | 650-550-0070
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Authorized Official
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Title or Position | CEO
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Name | MS. ANNA A SUAREZ I
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Credential | PT
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Telephone | 650-550-0050
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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 | 23953
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License Number State | CA
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