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General NPI Number Information
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NPI Number | 1699985879
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Entity Type | Individual
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Provider Name | REBECCA FLEISHER TERRY P.T., O.C.S.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10780 SANTA MONICA BLVD SUITE 110
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City | LOS ANGELES
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State | CA
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Zip | 90025-4749
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Country | US
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Telephone | 310-474-5150
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Fax | 310-474-4924
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Provider Business Mailing Address
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Address Line | 19714 VINTAGE ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-3549
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Country | US
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Telephone | 818-885-1734
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT9306
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License Number State | CA
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