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General NPI Number Information
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NPI Number | 1891748059
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Entity Type | Organization
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Legal Business Name | WEST COAST PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 27882 FORBES RD #110
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1267
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Country | US
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Telephone | 949-364-2955
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Fax | 949-364-1799
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Provider Business Mailing Address
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Address Line | 5962 LA PLACE CT STE 170
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City | CARLSBAD
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State | CA
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Zip | 92008-8807
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Country | US
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Telephone | 800-929-4776
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Fax | 760-931-8370
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ANNE LASSON
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Credential |
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Telephone | 408-570-0510
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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 | PT 24601
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License Number State | CA
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