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General NPI Number Information
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NPI Number | 1992326730
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Entity Type | Organization
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Legal Business Name | AMERICAN SPECIALTY PHYSICAL MEDICINE, INC.
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 10221 WATERIDGE CIR
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City | SAN DIEGO
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State | CA
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Zip | 92121-2702
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Country | US
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Telephone | 800-848-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 10221 WATERIDGE CIR
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City | SAN DIEGO
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State | CA
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Zip | 92121-2702
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Country | US
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Telephone | 800-848-3555
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, COO
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Name | ROBET WHITE
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Credential |
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Telephone | 800-848-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 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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