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General NPI Number Information
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NPI Number | 1902661739
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Entity Type | Organization
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Legal Business Name | PTOGETHERSHIP PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 1010 CALLE SOMBRA
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-6227
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Country | US
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Telephone | 908-892-9210
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Fax |
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Provider Business Mailing Address
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Address Line | 4590 MACARTHUR BLVD STE 500
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2028
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MATTHEW PARISI
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Credential |
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Telephone | 908-892-9210
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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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