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General NPI Number Information
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NPI Number | 1659050102
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Entity Type | Organization
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Legal Business Name | PANG PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 11131 CHADWICK PL
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City | CUPERTINO
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State | CA
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Zip | 95014-4705
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Country | US
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Telephone | 617-959-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 11131 CHADWICK PL
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City | CUPERTINO
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State | CA
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Zip | 95014-4705
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Country | US
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Telephone | 617-959-1733
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES L PANG
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Credential | DPT
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Telephone | 617-959-1733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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