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General NPI Number Information
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NPI Number | 1790356053
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Entity Type | Organization
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Legal Business Name | VELOCITY PHYSICAL THERAPY & WELLNESS INC
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 12384 SARATOGA SUNNYVALE RD
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City | SARATOGA
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State | CA
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Zip | 95070-3084
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Country | US
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Telephone | 408-809-0115
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Fax |
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Provider Business Mailing Address
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Address Line | 12384 SARATOGA SUNNYVALE RD
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City | SARATOGA
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State | CA
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Zip | 95070-3084
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Country | US
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Telephone | 408-809-0115
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | MS. DISHA SHAH
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Credential | PT
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Telephone | 704-962-6394
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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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