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General NPI Number Information
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NPI Number | 1649873043
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Entity Type | Organization
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Legal Business Name | FIT PHYSIOTHERAPY & STRENGTH
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1600 DOVE ST STE 320
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2489
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Country | US
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Telephone | 949-629-5211
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Fax | 949-785-3191
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Provider Business Mailing Address
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Address Line | 1600 DOVE ST STE 320
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2489
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Country | US
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Telephone | 949-629-5211
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Fax | 949-785-3191
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MELANIE ANN CORNEJO
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Credential | PT
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Telephone | 949-698-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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