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General NPI Number Information
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NPI Number | 1831995224
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Entity Type | Individual
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Provider Name | ANDREA MARIE PICKARD PT, DPT
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Gender |
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 3460 TORRANCE BLVD STE 100
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City | TORRANCE
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State | CA
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Zip | 90503-5812
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Country | US
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Telephone | 310-371-8555
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Fax | 310-371-4488
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Provider Business Mailing Address
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Address Line | 22608 OCEAN AVE APT 7
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City | TORRANCE
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State | CA
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Zip | 90505-3651
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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 |
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Name |
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Credential |
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Telephone |
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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 | 306589
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License Number State | CA
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