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General NPI Number Information
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NPI Number | 1710707211
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Entity Type | Organization
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Legal Business Name | PURO PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4605 LANKERSHIM BLVD STE 535
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1897
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Country | US
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Telephone | 562-879-0031
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Fax | 310-807-6385
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Provider Business Mailing Address
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Address Line | 4605 LANKERSHIM BLVD STE 535
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1897
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Country | US
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Telephone | 310-717-1909
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Fax | 310-807-6385
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY/ OWNER
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Name | PRESTON EDWARD POOLE
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Credential | DPT
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Telephone | 562-879-0031
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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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