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General NPI Number Information
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NPI Number | 1871876326
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Entity Type | Organization
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Legal Business Name | NEW WELLNESS INSTITUTE OF PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 12568 W WASHINGTON BLVD SUITE 202
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City | CULVER CITY
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State | CA
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Zip | 90066
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Country | US
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Telephone | 310-482-3252
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Fax |
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Provider Business Mailing Address
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Address Line | 12568 WEST WASINGTON BLVD SUITE 202
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City | LOS ANGELES
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State | CA
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Zip | 90066
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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 | DPT
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Name | DR. DIMITRI RIMSKY
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Credential |
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Telephone | 310-200-5879
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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 | PT 19584
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License Number State | CA
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