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General NPI Number Information
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NPI Number | 1699171090
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Entity Type | Individual
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Provider Name | LINDSAY ANN PIETRUSZEWSKI DPT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 1000 VETERAN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-2704
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Country | US
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Telephone | 310-319-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT41600
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT41600
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT41600
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 41600
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | PT41600
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License Number State | CA
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