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NPI 1851582522

NPI 1851582522 : RISING SUN PHYSICAL THERAPY INC : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1851582522
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISING SUN PHYSICAL THERAPY INC 
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Dates
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    Enumeration Date     |    08/07/2007
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    Last Update Date     |    02/03/2023
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Provider Practice Location Address
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    Address Line         |    500 SUTTER ST STE 514 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-1114
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    Country              |    US
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    Telephone            |    415-672-9064
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    Fax                  |    415-362-4084
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Provider Business Mailing Address
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    Address Line         |    500 SUTTER ST STE 800 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94102-1117
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    Country              |    US
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    Telephone            |    415-282-4083
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    Fax                  |    415-362-4084
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. BETTINA KIRA NEUMANN 
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    Credential           |    PT
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    Telephone            |    415-282-4083
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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       |    PT184581
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    License Number State |    CA
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