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General NPI Number Information
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NPI Number | 1558610543
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Entity Type | Organization
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Legal Business Name | SUNG H. CHIN THERAPEUTIC ADHC SERVICES, INC.
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 266 S HARVARD BLVD STE 330
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City | LOS ANGELES
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State | CA
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Zip | 90004-4373
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Country | US
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Telephone | 323-939-0840
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Fax | 323-939-0850
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Provider Business Mailing Address
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Address Line | 266 S HARVARD BLVD STE 330
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City | LOS ANGELES
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State | CA
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Zip | 90004-4373
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Country | US
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Telephone | 323-939-0840
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Fax | 323-939-0850
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUNG H. CHIN
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Credential | O.T.
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Telephone | 323-939-0840
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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 | PT 32717
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 6757
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License Number State | CA
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