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General NPI Number Information
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NPI Number | 1861654790
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Entity Type | Organization
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Legal Business Name | ALMADEN PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 6489 CAMDEN AVE SUITE 109
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City | SAN JOSE
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State | CA
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Zip | 95120-2849
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Country | US
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Telephone | 408-268-0600
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Fax | 408-268-0602
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Provider Business Mailing Address
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Address Line | 6489 CAMDEN AVE SUITE 109
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City | SAN JOSE
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State | CA
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Zip | 95120-2849
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Country | US
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Telephone | 408-268-0600
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Fax | 408-268-0602
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Authorized Official
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Title or Position | OWNER/DIRECTOR P.T.
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Name | MS. SUPRIYA MANIAR
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Credential | P.T.
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Telephone | 408-268-0600
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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 |
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License Number State |
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