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General NPI Number Information
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NPI Number | 1295503944
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Entity Type | Individual
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Provider Name | JANET DUONG
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Gender | Female
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 25821 VERMONT AVE
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City | HARBOR CITY
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State | CA
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Zip | 90710-3518
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1061 W POPPY HILLS CT
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City | LA HABRA
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State | CA
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Zip | 90631-2041
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Country | US
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Telephone | 562-277-4188
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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 | 305257
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License Number State | CA
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