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General NPI Number Information
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NPI Number | 1962401398
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Entity Type | Organization
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Legal Business Name | AIJ, INC
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 8380 CENTER DR # E
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City | LA MESA
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State | CA
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Zip | 91942-2952
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Country | US
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Telephone | 619-466-6077
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Fax | 619-466-6118
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Provider Business Mailing Address
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Address Line | 8380 CENTER DR # E
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City | LA MESA
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State | CA
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Zip | 91942-2952
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Country | US
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Telephone | 619-466-6077
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Fax | 619-466-6118
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Authorized Official
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Title or Position | CEO
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Name | TAMI PEAVY
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Credential |
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Telephone | 619-466-6077
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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 | 27486
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2278P1005X
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Taxonomy Name | Pulmonary Rehabilitation Certified Respiratory Therapist
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License Number | 22847
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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