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General NPI Number Information
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NPI Number | 1942706445
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Entity Type | Organization
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Legal Business Name | ABILITY PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 5356 PRINCE ESTATES CT
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City | SAN JOSE
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State | CA
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Zip | 95135-1368
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Country | US
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Telephone | 408-659-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 5356 PRINCE ESTATES CT
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City | SAN JOSE
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State | CA
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Zip | 95135-1368
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Country | US
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Telephone | 408-659-6105
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ANJANETTE LIM JAVELLANA
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Credential | PT
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Telephone | 408-659-6105
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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 | 36408
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License Number State | CA
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