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General NPI Number Information
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NPI Number | 1437501715
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Entity Type | Organization
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Legal Business Name | LAI NA TUNG
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 623 MAIN ST
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City | DELANO
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State | CA
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Zip | 93215-2933
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Country | US
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Telephone | 661-474-2600
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Fax | 661-474-2601
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Provider Business Mailing Address
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Address Line | 623 MAIN ST
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City | DELANO
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State | CA
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Zip | 93215-2933
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Country | US
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Telephone | 661-474-2600
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Fax | 661-474-2601
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Authorized Official
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Title or Position | OWNER
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Name | LAI NA TUNG
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Credential |
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Telephone | 661-474-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0000004481
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License Number State | CA
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