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NPI 1982619847

NPI 1982619847 : LINDA PATRICIA KITE PT : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1982619847
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA PATRICIA KITE PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3500 ZANKER RD 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95134-2201
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    Country              |    US
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    Telephone            |    408-451-6642
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5318 STIRLING CT 
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    City                 |    NEWARK
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    State                |    CA
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    Zip                  |    94560-1352
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    Country              |    US
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    Telephone            |    510-794-1446
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    PT1804
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    License Number State |    CA
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