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General NPI Number Information
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NPI Number | 1750559431
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Entity Type | Organization
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Legal Business Name | ALL STAR PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 24630 WASHINGTON AVE STE 201
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City | MURRIETA
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State | CA
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Zip | 92562-6177
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Country | US
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Telephone | 951-200-3620
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Fax | 951-200-5811
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Provider Business Mailing Address
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Address Line | 1650 LYNDON FARM CT STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40223-5005
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAUL JAMES DIMEGLIO
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Credential | OTR/L, HTC
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Telephone | 951-200-3620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 6025
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10446
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License Number State | CA
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