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General NPI Number Information
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NPI Number | 1649861949
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Entity Type | Organization
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Legal Business Name | PT WORKS INC
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 43875 WASHINGTON ST STE G
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City | PALM DESERT
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State | CA
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Zip | 92211-8249
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Country | US
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Telephone | 760-701-5046
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Fax | 888-490-0261
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Provider Business Mailing Address
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Address Line | 78206 VARNER RD STE D BOX 158
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City | PALM DESERT
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State | CA
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Zip | 92211-4136
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Country | US
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Telephone | 760-568-9811
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Fax | 760-568-9866
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MAWHINEY
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Credential | DPT
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Telephone | 253-736-3219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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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 |
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