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General NPI Number Information
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NPI Number | 1679848808
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Entity Type | Organization
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Legal Business Name | THERAPISTS UNLIMITED
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 03/21/2012
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Provider Practice Location Address
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Address Line | 367 EASTRIDGE DR
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City | SAN RAMON
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State | CA
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Zip | 94582-4912
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Country | US
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Telephone | 260-402-7527
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Fax |
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Provider Business Mailing Address
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Address Line | 367 EASTRIDGE DR
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City | SAN RAMON
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State | CA
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Zip | 94582-4912
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Country | US
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Telephone | 260-402-7527
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Fax |
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Authorized Official
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Title or Position | COTA
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Name | MS. RACHEL LYNNE CAYOT
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Credential |
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Telephone | 260-402-7527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | OTA 1794
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License Number State | CA
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