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NPI 1740052125

NPI 1740052125 : ARTI PATEL DPT : SAN BERNARDINO, CA

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General NPI Number Information
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    NPI Number           |    1740052125
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    Entity Type          |    Individual 
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    Provider Name        |    ARTI PATEL DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/27/2023
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    Last Update Date     |    10/27/2023
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Provider Practice Location Address
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    Address Line         |    301 E VANDERBILT WAY STE 100 
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92408-3556
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    Country              |    US
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    Telephone            |    909-567-2661
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14244 POINT LOMA ST 
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    City                 |    FONTANA
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    State                |    CA
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    Zip                  |    92336-3708
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    Country              |    US
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    Telephone            |    909-275-2256
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    304598
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    License Number State |    CA
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