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General NPI Number Information
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NPI Number | 1962625517
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Entity Type | Individual
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Provider Name | CHOU CHUCK XIONG
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7171 BOWLING DR
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City | SACRAMENTO
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State | CA
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Zip | 95823-2034
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Country | US
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Telephone | 191-638-5869
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 BOWLING DRIVE
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City | SAC
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State | CA
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Zip | 95838
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Country | US
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Telephone | 191-638-5869
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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