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General NPI Number Information
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NPI Number | 1912070046
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Entity Type | Organization
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Legal Business Name | ADVANCED PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 801 W VALLEY BLVD SUITE 203
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City | ALHAMBRA
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State | CA
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Zip | 91803-3250
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Country | US
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Telephone | 626-576-5757
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Fax | 626-576-5760
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Provider Business Mailing Address
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Address Line | 801 W VALLEY BLVD SUITE 203
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City | ALHAMBRA
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State | CA
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Zip | 91803-3250
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Country | US
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Telephone | 626-576-5757
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Fax | 626-576-5760
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Authorized Official
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Title or Position | OWNER
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Name | RAY-MING OU
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Credential | P.T.
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Telephone | 626-576-5757
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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 | PT10943
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License Number State | CA
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