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General NPI Number Information
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NPI Number | 1942312194
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Entity Type | Organization
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Legal Business Name | OXNARD MTU
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 3150 VIA MARINA AVE
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City | OXNARD
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State | CA
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Zip | 93035-2437
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Country | US
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Telephone | 805-382-1784
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Fax | 805-984-0590
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Provider Business Mailing Address
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Address Line | 3150 VIA MARINA AVE
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City | OXNARD
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State | CA
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Zip | 93035-2437
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Country | US
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Telephone | 805-382-1784
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Fax | 805-984-0590
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Authorized Official
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Title or Position | MANAGER
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Name | LAURELL MAURO
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Credential | PT
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Telephone | 805-981-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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