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NPI 1902091358

NPI 1902091358 : FIRST CHOICE PHYSICAL THERAPY : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1902091358
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST CHOICE PHYSICAL THERAPY 
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Dates
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    Enumeration Date     |    09/10/2007
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    Last Update Date     |    09/10/2007
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Provider Practice Location Address
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    Address Line         |    1903 E FIR AVE SUITE 102
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-3862
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    Country              |    US
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    Telephone            |    559-322-1703
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    Fax                  |    559-322-1793
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Provider Business Mailing Address
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    Address Line         |    1903 E FIR AVE SUITE 102
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-3862
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    Country              |    US
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    Telephone            |    
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    Fax                  |    559-322-1793
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Authorized Official
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    Title or Position    |    DIRECTOR OF OPERATIONS
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    Name                 |    MRS. ROSE  ABRAHAM 
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    Credential           |    
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    Telephone            |    559-322-1703
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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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