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General NPI Number Information
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NPI Number | 1891010898
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Entity Type | Organization
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Legal Business Name | BAKERSFIELD PHYSICAL THERAPY-FITNESS, INC
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 05/17/2013
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Provider Practice Location Address
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Address Line | 1400 EASTON DR SUITE 131
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City | BAKERSFIELD
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State | CA
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Zip | 93309-9412
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Country | US
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Telephone | 661-616-0888
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Fax | 661-616-0889
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Provider Business Mailing Address
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Address Line | 1400 EASTON DR SUITE 131
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City | BAKERSFIELD
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State | CA
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Zip | 93309-9412
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Country | US
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Telephone | 661-616-0888
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Fax | 661-616-0889
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Authorized Official
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Title or Position | CEO
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Name | MRS. ZEINA MORELAND
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Credential | PT, DPT
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Telephone | 661-616-0888
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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 | 117752
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License Number State | CA
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