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General NPI Number Information
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NPI Number | 1982292298
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Entity Type | Organization
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Legal Business Name | EMPOWER MOBILE PHYSICAL THERAPY CORPORATION
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 1076 DRIFTING CIRCLE DR
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City | VISTA
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State | CA
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Zip | 92081-6734
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Country | US
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Telephone | 808-284-9728
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Fax | 858-244-9767
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Provider Business Mailing Address
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Address Line | 1076 DRIFTING CIRCLE DR
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City | VISTA
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State | CA
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Zip | 92081-6734
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Country | US
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Telephone | 808-284-9728
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Fax | 858-244-9767
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Authorized Official
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Title or Position | CO-FOUNDER/PHYSICAL THERAPIST
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Name | CHRISTOPHER GUARINO
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Credential | DPT
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Telephone | 248-761-3211
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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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