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General NPI Number Information
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NPI Number | 1699132241
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Entity Type | Organization
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Legal Business Name | VITAL MOTION PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 832 N DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1039
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Country | US
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Telephone | 562-236-7886
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Fax |
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Provider Business Mailing Address
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Address Line | 832 N DIAMOND BAR BLVD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1039
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Country | US
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Telephone | 562-236-7886
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIAN MEDINA
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Credential | RPT
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Telephone | 562-236-7886
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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 |
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