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General NPI Number Information
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NPI Number | 1255961850
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Entity Type | Individual
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Provider Name | BONG SU JANG DPT
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Gender | Male
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 415 E AVENIDA PICO STE M
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3800
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Country | US
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Telephone | 949-245-6581
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Fax |
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Provider Business Mailing Address
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Address Line | 415 E AVENIDA PICO STE M
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3800
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Country | US
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Telephone | 949-245-6581
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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 | PT296936
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License Number State | CA
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