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General NPI Number Information
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NPI Number | 1891071791
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 10/24/2011
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 165 N K ST
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City | DINUBA
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State | CA
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Zip | 93618-1925
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Country | US
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Telephone | 559-591-2520
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Fax | 559-591-2315
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Provider Business Mailing Address
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Address Line | 165 N K ST
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City | DINUBA
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State | CA
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Zip | 93618-1925
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Country | US
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Telephone | 559-591-2520
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Fax |
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Authorized Official
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Title or Position | CEO, CFO, SECRETARY
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Name | MICHAEL PARBST
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Credential | PT, DPT
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Telephone | 559-591-2520
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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 33466
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License Number State | CA
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