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General NPI Number Information
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NPI Number | 1962811851
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Entity Type | Organization
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Legal Business Name | OC PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 14120 BEACH BLVD STE 213
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City | WESTMINSTER
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State | CA
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Zip | 92683-4454
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Country | US
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Telephone | 714-362-7942
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Fax |
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Provider Business Mailing Address
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Address Line | 14120 BEACH BLVD STE 213
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City | WESTMINSTER
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State | CA
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Zip | 92683-4454
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Country | US
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Telephone | 714-362-7942
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MATTHEW GRIFFITH
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Credential |
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Telephone | 714-362-7942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 27723
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License Number State | CA
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