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General NPI Number Information
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NPI Number | 1689844300
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Entity Type | Organization
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Legal Business Name | HARA/NELSON PHYSICAL THERAPY CORPORATION
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 11687 NATIONAL BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-3801
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Country | US
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Telephone | 310-481-9965
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Fax | 310-481-9986
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Provider Business Mailing Address
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Address Line | 11687 NATIONAL BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-3801
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Country | US
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Telephone | 310-481-9965
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Fax | 310-481-9986
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ERIK NELSON
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Credential | PT
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Telephone | 310-481-9965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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