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General NPI Number Information
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NPI Number | 1780615419
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Entity Type | Organization
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Legal Business Name | CHENG CHIA LI PHYSICAL THERAPY CORP.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 11/06/2008
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Provider Practice Location Address
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Address Line | 18403 PIONEER BLVD SUITE NUMBER 202
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City | ARTESIA
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State | CA
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Zip | 90701-5500
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Country | US
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Telephone | 562-809-4005
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Fax | 562-809-2925
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Provider Business Mailing Address
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Address Line | 18403 PIONEER BLVD STE 202
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City | ARTESIA
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State | CA
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Zip | 90701-4610
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Country | US
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Telephone | 562-809-4005
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Fax | 562-809-2925
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHENG CHIA LI
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Credential | D.C., P.T.
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Telephone | 562-809-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26219
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License Number State | CA
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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 | PT24497
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License Number State | CA
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