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General NPI Number Information
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NPI Number | 1730278748
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Entity Type | Organization
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Legal Business Name | KERRY J. BESMEHN AND LOANNE RUBE PTR
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5150 GRAVES AVE SUITE 11 D
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City | SAN JOSE
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State | CA
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Zip | 95129-5013
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Country | US
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Telephone | 408-253-4211
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Fax | 408-253-0915
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Provider Business Mailing Address
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Address Line | 5150 GRAVES AVE SUITE 11 D
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City | SAN JOSE
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State | CA
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Zip | 95129-5013
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Country | US
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Telephone | 408-253-4211
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Fax | 408-253-0915
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Authorized Official
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Title or Position | GENERAL PARTNER/OWNER
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Name | MS. KERRY JAN BESMEHN
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Credential | PHYSICAL THERAPIST
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Telephone | 408-253-4211
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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 | PT7080
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License Number State | CA
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