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General NPI Number Information
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NPI Number | 1033926621
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Entity Type | Individual
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Provider Name | CHENLEI QIAN DPT
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 690 INDUSTRIAL RD
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City | SAN CARLOS
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State | CA
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Zip | 94070-3318
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Country | US
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Telephone | 650-592-6682
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Fax |
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Provider Business Mailing Address
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Address Line | 2836 TORO DR
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City | SAN MATEO
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State | CA
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Zip | 94403-3443
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Country | US
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Telephone | 314-912-7209
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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 | 307184
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License Number State | CA
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