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General NPI Number Information
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NPI Number | 1811164940
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Entity Type | Organization
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Legal Business Name | ARLEEN D THOMAS
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 6350 SAN PABLO DAM RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-3632
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Country | US
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Telephone | 510-243-1871
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Fax | 510-222-2885
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Provider Business Mailing Address
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Address Line | 6350 SAN PABLO DAM RD
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City | EL SOBRANTE
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State | CA
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Zip | 94803-3632
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Country | US
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Telephone | 510-243-1871
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Fax | 510-222-2885
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | ARLEEN DANGOY THOMAS
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Credential | PT, MTC, CEES
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Telephone | 510-243-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT18900
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License Number State | CA
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