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General NPI Number Information
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NPI Number | 1760345201
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Entity Type | Organization
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Legal Business Name | MERAKI PERFORMANCE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5550 HOLLYWOOD BLVD APT 432
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City | LOS ANGELES
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State | CA
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Zip | 90028-9602
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Country | US
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Telephone | 626-975-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 5550 HOLLYWOOD BLVD APT 432
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City | LOS ANGELES
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State | CA
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Zip | 90028-9602
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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 | PRESIDENT
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Name | JASON DUONG
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Credential | DPT
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Telephone | 626-975-6690
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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 |
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License Number State |
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