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General NPI Number Information
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NPI Number | 1740998830
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Entity Type | Organization
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Legal Business Name | SHREE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 11911 ARTESIA BLVD STE 207
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City | CERRITOS
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State | CA
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Zip | 90701-4060
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Country | US
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Telephone | 562-402-8389
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Fax | 562-403-2638
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Provider Business Mailing Address
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Address Line | 11911 ARTESIA BLVD STE 207
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City | CERRITOS
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State | CA
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Zip | 90701-4060
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Country | US
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Telephone | 562-402-8389
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Fax | 562-403-2638
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Authorized Official
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Title or Position | CEO
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Name | EKTA KAMANI SANGANI
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Credential |
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Telephone | 614-377-0907
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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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