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General NPI Number Information
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NPI Number | 1730745522
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Entity Type | Organization
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Legal Business Name | STARTING POINT PHYSICAL THERAPY AND LYMPHEDEMA CARE , PC
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 159 PARROTT ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4813
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Country | US
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Telephone | 510-858-0771
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Fax |
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Provider Business Mailing Address
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Address Line | 1568 WAYNE AVE
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City | SAN LEANDRO
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State | CA
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Zip | 94577-2531
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Country | US
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Telephone | 510-368-6100
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | KRISTIANE NYGAARD
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Credential | MPT, CLT-LANA
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Telephone | 510-858-0771
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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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