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General NPI Number Information
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NPI Number | 1831897123
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Entity Type | Organization
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Legal Business Name | HIGHLINE PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 230 BIRMINGHAM DRIVE
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City | CARDIFF BY THE SEA
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State | CA
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Zip | 92007-1722
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Country | US
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Telephone | 760-230-1377
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Fax | 888-324-4764
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Provider Business Mailing Address
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Address Line | 230 BIRMINGHAM DR
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City | CARDIFF BY THE SEA
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State | CA
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Zip | 92007-1722
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Country | US
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Telephone | 760-230-1377
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Fax | 888-324-4764
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | NINA WHEELER
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Credential | PT, DPT
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Telephone | 760-230-1377
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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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