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General NPI Number Information
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NPI Number | 1609055953
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Entity Type | Individual
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Provider Name | CHY-CHING CHUANG PT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 2501 S VOLUSIA AVE
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City | ORANGE CITY
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State | FL
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Zip | 32763-9116
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Country | US
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Telephone | 386-744-6333
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Fax | 386-774-6441
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Provider Business Mailing Address
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Address Line | PO BOX 953925
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City | LAKE MARY
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State | FL
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Zip | 32795-3925
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Country | US
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Telephone | 386-774-6333
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Fax | 386-774-6441
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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 | PT 22574
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License Number State | FL
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