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General NPI Number Information
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NPI Number | 1053146308
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Entity Type | Individual
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Provider Name | JORDAN HSU DPT
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Gender | Male
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 1671 S MAIN ST
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City | MILPITAS
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State | CA
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Zip | 95035-6200
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Country | US
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Telephone | 408-495-3743
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 HOMER CMN
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City | SAN JOSE
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State | CA
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Zip | 95131-3812
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Country | US
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Telephone | 310-592-7813
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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 | 306550
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License Number State | CA
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