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General NPI Number Information
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NPI Number | 1639494701
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Entity Type | Individual
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Provider Name | ELIZABETH WADE MPT
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Gender | Female
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 29811 SANTA MARGARITA PKWY STE 600
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3617
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Country | US
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Telephone | 949-600-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 29811 SANTA MARGARITA PKWY STE 600
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-3617
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Country | US
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Telephone | 949-600-5437
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Fax |
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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 | PT 27260
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License Number State | CA
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