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General NPI Number Information
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NPI Number | 1750238341
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Entity Type | Individual
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Provider Name | SOPAUL KENNY UNG DPT
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Gender | Male
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 12539 IMPERIAL HWY STE 201
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City | NORWALK
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State | CA
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Zip | 90650-3106
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Country | US
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Telephone | 562-379-9541
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Fax |
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Provider Business Mailing Address
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Address Line | 7914 HERSHEY ST
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City | ROSEMEAD
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State | CA
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Zip | 91770-2462
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Country | US
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Telephone |
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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 | 309715
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License Number State | CA
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