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General NPI Number Information
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NPI Number | 1710404983
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Entity Type | Individual
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Provider Name | MANSOOR AL AMERI PHD, PT, MPT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 3908 10TH ST
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City | RIVERSIDE
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State | CA
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Zip | 92501-3522
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Country | US
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Telephone | 951-274-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 10TH ST # 2747744
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City | RIVERSIDE
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State | CA
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Zip | 92501-3522
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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 | 26052
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 294050
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License Number State | CA
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