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General NPI Number Information
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NPI Number | 1801303300
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Entity Type | Organization
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Legal Business Name | LET ME LLC
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 01/05/2018
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Provider Practice Location Address
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Address Line | 3811 WALNUT DR
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City | RESCUE
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State | CA
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Zip | 95672-9316
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Country | US
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Telephone | 510-589-2924
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 WALNUT DR
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City | RESCUE
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State | CA
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Zip | 95672-9316
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Country | US
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Telephone | 510-589-2924
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JON CHU
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Credential | PT, RESNA ATP
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Telephone | 510-589-2924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 34567
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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