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NPI 1982830170

NPI 1982830170 : CONTRACT THERAPY SERVICES, INC. : VAN NUYS, CA

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General NPI Number Information
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    NPI Number           |    1982830170
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONTRACT THERAPY SERVICES, INC. 
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Dates
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    Enumeration Date     |    06/02/2009
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    Last Update Date     |    03/26/2020
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Provider Practice Location Address
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    Address Line         |    14558 SYLVAN ST SECOND FLOOR
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    City                 |    VAN NUYS
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    State                |    CA
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    Zip                  |    91411-2324
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    Country              |    US
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    Telephone            |    818-787-2116
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    Fax                  |    818-787-9522
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Provider Business Mailing Address
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    Address Line         |    833 COUNTRY LN 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46217-6828
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    Country              |    US
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    Telephone            |    317-559-5949
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DAVID PAUL DAVIS 
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    Credential           |    
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    Telephone            |    317-559-5949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    0002319581-0001-1
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    License Number State |    CA
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