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General NPI Number Information
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NPI Number | 1700498755
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Entity Type | Organization
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Legal Business Name | WELL TO RUN PHYSICAL THERAPY & COACHING, INC.
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 12 AMARANTE
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-8929
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Country | US
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Telephone | 949-554-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 12 AMARANTE
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-8929
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Country | US
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Telephone | 949-554-4050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUZANNE BECKER
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Credential | PT, DPT, SCS, NCPT
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Telephone | 949-554-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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