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General NPI Number Information
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NPI Number | 1508343500
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Entity Type | Organization
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Legal Business Name | VOONG CHUANG LLC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 1030 PENNINGTON LN
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City | CUPERTINO
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State | CA
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Zip | 95014
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Country | US
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Telephone | 408-786-7677
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 PENNINGTON LN
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City | CUPERTINO
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State | CA
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Zip | 95014-4930
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Country | US
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Telephone | 408-786-7677
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DAVID CHUANG
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Credential | DPM
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Telephone | 408-786-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5438
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License Number State | CA
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