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General NPI Number Information
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NPI Number | 1699030239
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Entity Type | Organization
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Legal Business Name | ADVANCED PHYSICAL THERAPY & ERGONOMICS INC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 3128 SANTA RITA RD SUITE B
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City | PLEASANTON
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State | CA
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Zip | 94566-8300
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Country | US
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Telephone | 925-222-3195
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Fax | 925-891-7870
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Provider Business Mailing Address
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Address Line | 3128 SANTA RITA RD SUITE B
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City | PLEASANTON
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State | CA
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Zip | 94566-8300
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Country | US
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Telephone | 925-222-3195
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Fax | 925-891-7870
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Authorized Official
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Title or Position | OWNER
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Name | DAVID GEORGE TURNER
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Credential | PT, ATC
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Telephone | 925-222-3195
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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 | 18170
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License Number State | CA
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