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General NPI Number Information
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NPI Number | 1750598132
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Entity Type | Individual
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Provider Name | GRETCHEN F TRUMPF PT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 17542 17TH ST SUITE 300 KAISER PERMANENTE HOME HEALTH, ORANGE COUNTY
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City | TUSTIN
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State | CA
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Zip | 92789
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Country | US
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Telephone | 714-944-8506
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Fax | 562-433-9232
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Provider Business Mailing Address
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Address Line | 4624 E VISTA ST
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City | LONG BEACH
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State | CA
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Zip | 90803-1727
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Country | US
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Telephone | 562-434-8650
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Fax | 562-439-4176
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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 | PT 9234
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License Number State | CA
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