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General NPI Number Information
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NPI Number | 1720485451
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Entity Type | Organization
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Legal Business Name | RP REHAB AND PHYSICAL THERAPY A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 09/12/2017
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Provider Practice Location Address
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Address Line | 3100 ORO DAM BLVD E
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City | OROVILLE
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State | CA
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Zip | 95966-5183
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Country | US
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Telephone | 530-534-4568
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Fax | 530-534-3621
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Provider Business Mailing Address
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Address Line | 3100 ORO DAM BLVD E
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City | OROVILLE
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State | CA
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Zip | 95966-5183
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Country | US
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Telephone | 530-534-4568
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Fax | 530-534-3621
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT LUNA POBLANO
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Credential | PT
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Telephone | 530-534-4568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT21227
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License Number State | CA
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