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General NPI Number Information
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NPI Number | 1922324839
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Entity Type | Organization
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Legal Business Name | IN FOCUS PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 1895 MOWRY AVE SUITE #118A
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City | FREMONT
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State | CA
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Zip | 94538-1737
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Country | US
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Telephone | 510-790-0383
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Fax | 510-790-1197
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Provider Business Mailing Address
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Address Line | 1895 MOWRY AVE SUITE #118A
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City | FREMONT
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State | CA
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Zip | 94538-1737
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Country | US
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Telephone | 510-790-0383
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Fax | 510-790-1197
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Authorized Official
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Title or Position | OWNER
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Name | CHARU DAVE
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Credential |
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Telephone | 510-790-0383
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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 | 027301
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License Number State | CA
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