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General NPI Number Information
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NPI Number | 1730967969
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Entity Type | Organization
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Legal Business Name | SYLVIA V DPT INC.
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 8436 W 3RD ST STE 602
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City | LOS ANGELES
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State | CA
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Zip | 90048-4186
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Country | US
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Telephone | 269-932-2074
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Fax |
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Provider Business Mailing Address
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Address Line | 321 S WILLAMAN DR APT 307
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City | LOS ANGELES
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State | CA
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Zip | 90048-3341
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Country | US
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Telephone | 269-932-2074
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. SYLVIA VEDAMANI
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Credential | DPT
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Telephone | 269-932-2074
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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 |
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License Number State |
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