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General NPI Number Information
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NPI Number | 1780254516
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Entity Type | Individual
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Provider Name | JUSTIN KHUU
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Gender | Male
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3600 S EL CAMINO REAL STE C
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City | SAN MATEO
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State | CA
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Zip | 94403-4579
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Country | US
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Telephone | 415-508-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 ALAMEDA DE LAS PULGAS
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City | MENLO PARK
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State | CA
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Zip | 94025-6559
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Country | US
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Telephone | 650-926-9413
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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 | PT300346
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License Number State | CA
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