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General NPI Number Information
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NPI Number | 1699312876
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Entity Type | Organization
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Legal Business Name | NLH PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 7898 OSTROW ST STE A
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City | SAN DIEGO
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State | CA
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Zip | 92111-3640
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Country | US
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Telephone | 301-278-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 5027 CAPEHART ST
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City | SAN DIEGO
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State | CA
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Zip | 92117-1111
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Country | US
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Telephone | 301-278-2587
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATASHA HASTINGS
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Credential | DPT, CSCS, PRESIDENT
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Telephone | 301-278-2587
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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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