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General NPI Number Information
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NPI Number | 1568326148
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Entity Type | Individual
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Provider Name | CHANTAL Y LOPEZ DPT
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 3033 W ORANGE AVE
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City | ANAHEIM
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State | CA
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Zip | 92804-3183
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Country | US
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Telephone | 714-827-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 712 S BALCOM AVE
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City | FULLERTON
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State | CA
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Zip | 92832-2504
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Country | US
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Telephone | 714-213-3138
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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 | 306466
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License Number State | CA
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