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General NPI Number Information
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NPI Number | 1922638261
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Entity Type | Individual
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Provider Name | HIU YI CHUNG
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Gender | Female
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 5702 MCPHERSON RD STE 15
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City | LAREDO
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State | TX
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Zip | 78041-6884
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Country | US
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Telephone | 325-260-5365
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Fax |
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Provider Business Mailing Address
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Address Line | 4606 LOS MARTINEZ DR
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City | LAREDO
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State | TX
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Zip | 78041-5739
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Country | US
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Telephone | 325-260-5365
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1286430
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License Number State | TX
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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 | 1286430
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License Number State | TX
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