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General NPI Number Information
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NPI Number | 1912179664
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Entity Type | Organization
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Legal Business Name | EVA CARE PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 556 MONTEREY PASS RD
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City | MONTEREY PARK
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State | CA
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Zip | 91754-2417
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Country | US
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Telephone | 310-889-9929
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Fax | 310-806-4497
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Provider Business Mailing Address
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Address Line | 1937 PONTIUS AVE
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City | LOS ANGELES
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State | CA
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Zip | 90025-5611
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Country | US
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Telephone | 310-889-9929
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Fax | 310-889-9993
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENQ HORNG CHEN
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Credential |
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Telephone | 310-889-9929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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