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General NPI Number Information
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NPI Number | 1639228240
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Entity Type | Organization
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Legal Business Name | AMASHA PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 266 S HARVARD BLVD SUITE 206
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City | LOS ANGELES
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State | CA
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Zip | 90004-4372
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Country | US
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Telephone | 310-404-1571
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Fax | 213-402-2670
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Provider Business Mailing Address
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Address Line | PO BOX 3170
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City | COSTA MESA
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State | CA
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Zip | 92628-3170
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Country | US
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Telephone | 310-404-1571
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Fax | 213-402-2670
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMMY O AMASHA
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Credential | RPT
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Telephone | 213-739-2226
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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 |
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License Number State | CA
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