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General NPI Number Information
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NPI Number | 1669994992
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Entity Type | Organization
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Legal Business Name | COURY & BUEHLER PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 13931 CARROLL WAY STE B
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City | TUSTIN
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State | CA
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Zip | 92780-1861
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Country | US
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Telephone | 714-256-5074
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Fax | 714-256-0770
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Provider Business Mailing Address
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Address Line | 3230 E IMPERIAL HWY STE 100
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City | BREA
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State | CA
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Zip | 92821-6735
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Country | US
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Telephone | 714-988-8113
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Fax | 714-988-8114
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Authorized Official
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Title or Position | OWNER, CEO, CFO
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Name | RICHARD JUDE COURY
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Credential | PT,MPT,OCS,ATC,CSCS
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Telephone | 714-256-5074
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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 |
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License Number State |
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Taxonomy #2
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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 | CA
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