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General NPI Number Information
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NPI Number | 1083609879
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Entity Type | Individual
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Provider Name | CHAU KAI KONG D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2005
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 301 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4526
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Country | US
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Telephone | 908-874-7592
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Fax | 908-874-0755
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Provider Business Mailing Address
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Address Line | 301 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4526
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Country | US
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Telephone | 908-874-7592
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Fax | 908-874-0755
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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 | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 25MD00127000
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License Number State | NJ
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