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General NPI Number Information
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NPI Number | 1700947116
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Entity Type | Individual
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Provider Name | GARY HORVITZ PT
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 901 NEVIN AVE.
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City | RICHMOND
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State | CA
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Zip | 94801-5947
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Country | US
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Telephone | 510-307-2571
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Fax | 510-307-2565
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Provider Business Mailing Address
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Address Line | KAISER PERMANENTE 901 NEVIN AVE.
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City | RICHMOND
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State | CA
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Zip | 94801-5947
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Country | US
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Telephone | 510-307-2571
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Fax | 510-307-2565
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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 | PT 12982
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License Number State | CA
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