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General NPI Number Information
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NPI Number | 1699050260
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Entity Type | Organization
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Legal Business Name | PTP, INC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 320 W VALLEY BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91803-3338
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Country | US
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Telephone | 626-289-2268
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Fax | 626-289-3499
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Provider Business Mailing Address
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Address Line | 1814 W ALAMEDA AVE
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City | BURBANK
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State | CA
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Zip | 91506-2929
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Country | US
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Telephone | 706-306-3641
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Fax | 818-861-7348
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Authorized Official
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Title or Position | ONWER
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Name | TAMI PEAVY
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Credential | MPT
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Telephone | 706-306-3641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 |
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