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General NPI Number Information
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NPI Number | 1891380895
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Entity Type | Organization
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Legal Business Name | HUMAN PLUS
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 9800 MIRA LEE WAY
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City | SAN DIEGO
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State | CA
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Zip | 92126-4713
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Country | US
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Telephone | 858-527-9581
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Fax |
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Provider Business Mailing Address
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Address Line | 10606 CAMINO RUIZ # 8-294
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City | SAN DIEGO
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State | CA
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Zip | 92126-3263
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Country | US
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Telephone | 858-527-9581
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | TIMOTHY WERTZ
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Credential | PT, DPT
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Telephone | 858-527-9581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics 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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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