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General NPI Number Information
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NPI Number | 1114677028
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Entity Type | Individual
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Provider Name | JINGKAI HUO PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 214 S ATLANTIC BLVD
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City | ALHAMBRA
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State | CA
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Zip | 91801-3298
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Country | US
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Telephone | 626-289-4178
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Fax |
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Provider Business Mailing Address
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Address Line | 12529 PRESTWICK ST
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City | EL MONTE
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State | CA
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Zip | 91732-4338
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Country | US
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Telephone | 626-652-9086
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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 | PT301758
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License Number State | CA
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