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General NPI Number Information
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NPI Number | 1891306809
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Entity Type | Organization
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Legal Business Name | COMPETE PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 8180 MANITOBA ST APT 340
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-8647
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Country | US
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Telephone | 626-230-3940
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Fax |
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Provider Business Mailing Address
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Address Line | 8180 MANITOBA ST APT 340
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-8647
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Country | US
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Telephone | 626-230-3940
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | NICOLE MARIKO ELBY LEE
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Credential | PT,DPT,SCS,ATC,CSCS
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Telephone | 626-230-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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