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General NPI Number Information
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NPI Number | 1750199535
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Entity Type | Organization
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Legal Business Name | EVERYDAY SPORTS PERFORMANCE & PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 7420 CLAIREMONT MESA BLVD STE 109
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City | SAN DIEGO
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State | CA
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Zip | 92111-1546
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Country | US
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Telephone | 858-218-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 7120 SHORELINE DR UNIT 2203
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City | SAN DIEGO
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State | CA
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Zip | 92122-4904
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Country | US
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Telephone | 714-618-4347
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAYDEN DUMAYAG
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Credential | PT, DPT, CSCS
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Telephone | 858-218-6522
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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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