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General NPI Number Information
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NPI Number | 1326915786
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Entity Type | Organization
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Legal Business Name | ANDANTE PEDIATRIC THERAPY, PC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 10080 N WOLFE RD STE SW3200
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City | CUPERTINO
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State | CA
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Zip | 95014-2594
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Country | US
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Telephone | 510-972-8166
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Fax |
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Provider Business Mailing Address
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Address Line | 10080 N WOLFE RD STE SW3200
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City | CUPERTINO
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State | CA
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Zip | 95014-2594
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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 | PRESIDENT
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Name | CHIAO-JU FANG
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Credential | PHD, OTR/L
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Telephone | 510-972-8166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech 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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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