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General NPI Number Information
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NPI Number | 1902042963
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Entity Type | Individual
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Provider Name | STEVEN THOMAS GETTELFINGER PT
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Gender | Male
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 2648 MAIN ST SUITE BC
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City | CHULA VISTA
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State | CA
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Zip | 91911-4664
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Country | US
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Telephone | 619-246-2539
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 662
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City | LA JOLLA
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State | CA
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Zip | 92038-0662
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Country | US
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Telephone | 865-338-2373
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT12768
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License Number State | CA
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