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General NPI Number Information
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NPI Number | 1063620284
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Entity Type | Organization
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Legal Business Name | HEBER K. CHUANG, PHYSICAL THERAPIST, INC.
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 45 E COLORADO BLVD
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City | ARCADIA
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State | CA
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Zip | 91006-2815
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Country | US
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Telephone | 626-616-6046
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Fax | 626-447-9213
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Provider Business Mailing Address
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Address Line | 45 E COLORADO BLVD
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City | ARCADIA
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State | CA
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Zip | 91006-2815
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Country | US
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Telephone | 626-616-6046
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Fax | 626-447-9213
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Authorized Official
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Title or Position | CEO
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Name | MR. HEBER CHUANG
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Credential | P.T.
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Telephone | 626-616-6046
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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 | PT 25645
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License Number State | CA
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