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General NPI Number Information
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NPI Number | 1720206782
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Entity Type | Organization
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Legal Business Name | HOLTVILLE THERAPY CENTER
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 W 5TH ST
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City | HOLTVILLE
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State | CA
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Zip | 92250-1214
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Country | US
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Telephone | 760-455-3306
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Fax | 760-344-8240
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Provider Business Mailing Address
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Address Line | 110 W 5TH ST
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City | HOLTVILLE
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State | CA
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Zip | 92250-1214
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Country | US
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Telephone | 760-455-3306
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Fax | 760-344-8240
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Authorized Official
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Title or Position | OWNER
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Name | JUN GARCIA
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Credential | PTA
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Telephone | 760-455-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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