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General NPI Number Information
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NPI Number | 1659750362
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Entity Type | Organization
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Legal Business Name | JENNIFER CRANE PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 3556 SACRAMENTO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1847
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Country | US
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Telephone | 541-598-5926
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Fax |
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Provider Business Mailing Address
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Address Line | 1559 FUNSTON AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-3530
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Country | US
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Telephone | 541-598-5926
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | DR. JENNIFER CRANE
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Credential | PT, DPT, OCS, ATC
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Telephone | 541-598-5926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 42289
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License Number State | CA
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