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General NPI Number Information
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NPI Number | 1942879408
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Entity Type | Organization
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Legal Business Name | PARADIGM PHYSICAL THERAPY & WELLNESS PC
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Dates
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Enumeration Date | 06/20/2021
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 721 NEVADA ST STE 206A
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City | REDLANDS
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State | CA
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Zip | 92373-8051
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Country | US
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Telephone | 909-265-4226
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Fax |
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Provider Business Mailing Address
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Address Line | 721 NEVADA ST STE 206A
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City | REDLANDS
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State | CA
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Zip | 92373-8051
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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 | PRESIDENT, CEO
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Name | STACY YOON
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Credential | DPT
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Telephone | 909-265-4226
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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 |
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License Number State |
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