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General NPI Number Information
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NPI Number | 1841847191
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Entity Type | Individual
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Provider Name | JAY CHAN PT
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Gender | Male
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 22485 TOMBALL PKWY STE 2100
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City | HOUSTON
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State | TX
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Zip | 77070-1560
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Country | US
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Telephone | 281-955-2650
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Fax | 281-955-5875
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Provider Business Mailing Address
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Address Line | 4700 SETON CENTER PKWY STE 115
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City | AUSTIN
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State | TX
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Zip | 78759-5753
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Country | US
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Telephone | 903-939-7500
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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 | PT297053
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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 | 1363133
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License Number State | TX
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