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General NPI Number Information
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NPI Number | 1942701578
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Entity Type | Organization
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Legal Business Name | AGEETO HEALTH, INC.
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 1125 S BEVERLY DR STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90035-1182
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Country | US
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Telephone | 949-300-2408
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 3RD ST APT 311
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City | SANTA MONICA
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State | CA
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Zip | 90403-3715
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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 | OWNER/PHYSICAL THERAPY
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Name | RASHMI PALACIOS
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Credential | DPT, OCS
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Telephone | 949-300-2408
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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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