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NPI 1720033707

NPI 1720033707 : BARTON PHYSICAL THERAPY, INC. : AGOURA HILLS, CA

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General NPI Number Information
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    NPI Number           |    1720033707
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARTON PHYSICAL THERAPY, INC. 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    28720 ROADSIDE DR #149
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    City                 |    AGOURA HILLS
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    State                |    CA
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    Zip                  |    91301-3316
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    Country              |    US
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    Telephone            |    818-575-9072
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    Fax                  |    818-575-9011
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Provider Business Mailing Address
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    Address Line         |    28720 ROADSIDE DR #149
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    City                 |    AGOURA HILLS
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    State                |    CA
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    Zip                  |    91301-3316
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    Country              |    US
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    Telephone            |    818-575-9072
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    Fax                  |    818-575-9011
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Authorized Official
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    Title or Position    |    CEO/PRESIDENT
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    Name                 |     NICOLAS  BARTON 
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    Credential           |    MPT
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    Telephone            |    818-575-9072
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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       |    26103
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    License Number State |    CA
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