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General NPI Number Information
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NPI Number | 1669670329
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Entity Type | Organization
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Legal Business Name | ADVANCE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/04/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 1010 LAUREL ST
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City | SAN CARLOS
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State | CA
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Zip | 94070-3919
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Country | US
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Telephone | 415-297-5840
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 LAUREL ST
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City | SAN CARLOS
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State | CA
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Zip | 94070-3919
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. ALTON CHING
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Credential | PT, DPT, OMT, MS
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Telephone | 415-297-5840
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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 | PT 23582
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License Number State | CA
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