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General NPI Number Information
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NPI Number | 1891923280
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Entity Type | Organization
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Legal Business Name | RESULTS SQUARED PHYSICAL THERAPY
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 28914 ROADSIDE DR SUITE 3
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4513
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Country | US
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Telephone | 818-706-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 N MOORPARK RD 235
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5129
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Country | US
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Telephone | 818-706-9110
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. LYNETTE VILLADELGADO
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Credential | PT
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Telephone | 818-706-9110
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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 |
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License Number State |
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