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General NPI Number Information
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NPI Number | 1184020638
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Entity Type | Organization
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Legal Business Name | CHIBICHANCORP
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1801 3RD ST STE 101
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City | NORCO
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State | CA
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Zip | 92860-2672
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Country | US
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Telephone | 951-777-2178
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Fax | 951-797-6855
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Provider Business Mailing Address
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Address Line | 2745 CANYON VIEW CIR
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City | CORONA
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State | CA
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Zip | 92882-7575
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Country | US
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Telephone | 909-957-0557
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST AND OWNER
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Name | DR. MATTHEW HARU FUJITA
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Credential | PT, DPT, OCS
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Telephone | 909-957-0557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 36534
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License Number State | CA
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