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General NPI Number Information
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NPI Number | 1255888756
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Entity Type | Organization
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Legal Business Name | BREEZE PHYSICAL THERAPY & ACUPUNCTURE, INC
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 5830 TEMPLE CITY BLVD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2112
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Country | US
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Telephone | 626-566-7456
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Fax |
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Provider Business Mailing Address
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Address Line | 5830 TEMPLE CITY BLVD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | PETER CHIU
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Credential |
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Telephone | 626-566-7456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 14759
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 41177
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License Number State | CA
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