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General NPI Number Information
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NPI Number | 1760773600
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Entity Type | Individual
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Provider Name | WHINLEY HASSETT QUAN CHUA RPT
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Gender | Female
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 9120 WILLOW RIDGE RD
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City | CHARLOTTE
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State | NC
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Zip | 28210-8313
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Country | US
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Telephone | 704-815-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 3326 YARMOUTH LN
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City | GASTONIA
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State | NC
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Zip | 28056-7876
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Country | US
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Telephone | 954-675-6349
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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 | 1203012
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P16221
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License Number State | NC
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