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General NPI Number Information
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NPI Number | 1285477604
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Entity Type | Individual
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Provider Name | JACQUELINE J HUA DPT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2024
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 4301 BROADWAY
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City | SAN ANTONIO
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State | TX
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Zip | 78209-6318
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Country | US
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Telephone | 210-283-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 17 HARRIS RD
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City | PRINCETON
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State | NJ
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Zip | 08540-3336
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Country | US
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Telephone | 609-613-6393
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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 | 1393143
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License Number State | TX
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