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General NPI Number Information
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NPI Number | 1013314004
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Entity Type | Organization
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Legal Business Name | ATOM PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 06/20/2021
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Provider Practice Location Address
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Address Line | 21008 NORTHERN BLVD SUITE #1
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City | BAYSIDE
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State | NY
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Zip | 11361-3211
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Country | US
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Telephone | 347-408-4911
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Fax | 347-836-8098
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Provider Business Mailing Address
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Address Line | 92 ASHBEE LN
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4727
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Country | US
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Telephone | 646-207-5376
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KUAIHUA CHIANG
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Credential | DPT
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Telephone | 646-207-5376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 022858
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License Number State | NY
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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 | 022858
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License Number State | NY
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