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General NPI Number Information
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NPI Number | 1407654429
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Entity Type | Individual
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Provider Name | CHUNGHWAY DAVID WU PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1355 RIVER VALLEY BLVD
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City | LANCASTER
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State | OH
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Zip | 43130-1600
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Country | US
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Telephone | 216-410-9976
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Fax |
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Provider Business Mailing Address
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Address Line | 21854 ADDINGTON BLVD
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City | ROCKY RIVER
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State | OH
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Zip | 44116-3966
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Country | US
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Telephone | 216-410-9976
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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 | PT020621
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License Number State | OH
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