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General NPI Number Information
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NPI Number | 1831105634
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Entity Type | Organization
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Legal Business Name | CHANG-YU J HSIEH
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 320 SOUTH GARFIELD AVENUE SUITE 302
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City | ALHAMBRA
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State | CA
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Zip | 91801-6816
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Country | US
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Telephone | 626-300-8341
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Fax | 626-300-8767
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Provider Business Mailing Address
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Address Line | 320 SOUTH GARFIELD AVENUE SUITE 302
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City | ALHAMBRA
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State | CA
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Zip | 91801-6816
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Country | US
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Telephone | 626-300-8341
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Fax | 626-300-8767
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Authorized Official
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Title or Position | OWNER/ PROVIDER
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Name | DR. CHANG-YU JOHN HSIEH
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Credential | MS, PT, DC, CA
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Telephone | 626-300-8341
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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 | DC19159
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT2625
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT10210
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License Number State | CA
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