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General NPI Number Information
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NPI Number | 1861978512
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Entity Type | Organization
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Legal Business Name | EVOLVE PHYSICAL THERAPY AND PERFORMANCE, INC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 340 CLOVIS AVE
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City | CLOVIS
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State | CA
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Zip | 93612-1116
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Country | US
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Telephone | 608-239-4249
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Fax |
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Provider Business Mailing Address
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Address Line | 340 CLOVIS AVE
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City | CLOVIS
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State | CA
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Zip | 93612-1116
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Country | US
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Telephone | 559-650-0345
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | RANDY HILL
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Credential |
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Telephone | 559-573-6594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT292568
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License Number State | CA
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