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General NPI Number Information
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NPI Number | 1164008843
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Entity Type | Individual
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Provider Name | PIRAPON LEO CHAIDARUN MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1800 LOMBARD STREET GROUND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1498
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Country | US
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Telephone | 215-893-2600
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Fax | 215-893-2610
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Provider Business Mailing Address
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Address Line | 1800 LOMBARD STREET GROUND FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1498
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Country | US
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Telephone | 215-893-2600
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Fax | 215-893-2610
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD490056
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License Number State | PA
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