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General NPI Number Information
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NPI Number | 1952500753
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Entity Type | Organization
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Legal Business Name | KAREN E BEERNINK
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 175 CLEAVELAND RD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3875
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Country | US
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Telephone | 925-287-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 175 CLEAVELAND RD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3875
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Country | US
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Telephone | 925-287-0056
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KAREN ELIZABETH BEERNINK
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Credential | MSPT, OCS
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Telephone | 925-287-0056
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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 | PT19028
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License Number State | CA
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