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General NPI Number Information
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NPI Number | 1932716909
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Entity Type | Individual
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Provider Name | ABRAHAM YI PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 10250 SANTA MONICA BLVD STE 2440
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City | LOS ANGELES
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State | CA
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Zip | 90067-6593
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Country | US
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Telephone | 310-286-0122
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Fax | 310-286-0125
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Provider Business Mailing Address
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Address Line | 5767 W CENTURY BLVD STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90045-5631
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Country | US
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Telephone | 310-301-5138
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT298853
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License Number State | CA
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