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General NPI Number Information
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NPI Number | 1356414965
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Entity Type | Organization
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Legal Business Name | BUENA PARK REHAB & PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7212 ORANGETHORPE AVE SUITE #4
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City | BUENA PARK
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State | CA
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Zip | 90621-3341
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Country | US
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Telephone | 714-228-1114
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Fax | 714-523-4970
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Provider Business Mailing Address
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Address Line | 7212 ORANGETHORPE AVE SUITE #4
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City | BUENA PARK
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State | CA
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Zip | 90621-3341
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Country | US
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Telephone | 714-228-1114
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Fax | 714-523-4970
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. CHRISTIAN E. CHUNG
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Credential | D.C.
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Telephone | 714-228-1114
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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 |
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License Number State |
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