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General NPI Number Information
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NPI Number | 1992399406
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Entity Type | Organization
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Legal Business Name | BODYBASICS PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 14252 SCHLEISMAN RD STE 203
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City | EASTVALE
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State | CA
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Zip | 92880-4020
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Country | US
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Telephone | 951-273-7742
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Fax | 951-273-7747
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Provider Business Mailing Address
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Address Line | 14252 SCHLEISMAN RD STE 203
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City | EASTVALE
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State | CA
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Zip | 92880-4020
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Country | US
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Telephone | 951-273-7742
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Fax | 951-273-7747
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT HUNSAKER
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Credential | PT
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Telephone | 951-273-7742
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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