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General NPI Number Information
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NPI Number | 1497933030
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Entity Type | Organization
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Legal Business Name | CHAU KAI KONG DPM
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 301 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4526
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Country | US
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Telephone | 908-874-7592
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Fax | 908-281-5533
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Provider Business Mailing Address
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Address Line | 301 OMNI DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4526
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Country | US
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Telephone | 908-874-7592
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Fax | 908-281-5533
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. CHAU KAI KONG
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Credential | DPM
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Telephone | 908-874-7592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 25MD00127000
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License Number State | NJ
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