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General NPI Number Information
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NPI Number | 1346509320
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Entity Type | Organization
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Legal Business Name | ADD/ADHD DIAGNOSTIC AND TREATMENT CENTER, PA
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 1524 INDEPENDENCE PKWY SUITE # A-1
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City | PLANO
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State | TX
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Zip | 75075-6406
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Country | US
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Telephone | 972-943-0410
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Fax | 972-212-4270
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Provider Business Mailing Address
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Address Line | PO BOX 261283
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City | PLANO
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State | TX
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Zip | 75026-1283
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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 | OWNER/PRESIDENT
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Name | JOHN CHUANG
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Credential |
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Telephone | 832-202-6368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N1045
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N4349
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License Number State | TX
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