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General NPI Number Information
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NPI Number | 1487474920
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Entity Type | Individual
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Provider Name | ZHAOHUA GUAN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 210B S BRIDGE ST
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City | ELKTON
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State | MD
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Zip | 21921-5915
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Country | US
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Telephone | 443-485-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 805 WASHINGTON ST APT A
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City | HISTORIC NEW CASTLE
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State | DE
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Zip | 19720-6062
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Country | US
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Telephone | 716-858-0492
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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 | J1-0014898
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30185
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License Number State | MD
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