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General NPI Number Information
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NPI Number | 1255972972
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Entity Type | Organization
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Legal Business Name | CY PAIN AND REHAB PLLC
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 4541 N JOSEY LN STE 230
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City | CARROLLTON
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State | TX
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Zip | 75010-4781
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Country | US
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Telephone | 214-506-0904
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Fax | 888-366-2632
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Provider Business Mailing Address
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Address Line | 4541 N JOSEY LN STE 230
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City | CARROLLTON
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State | TX
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Zip | 75010-4781
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Country | US
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Telephone | 214-506-0904
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Fax | 888-366-2632
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CHAU UONG
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Credential | DO
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Telephone | 214-641-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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