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General NPI Number Information
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NPI Number | 1003202961
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Entity Type | Individual
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Provider Name | NUBIA AMPARO CHONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 517 N HORNE ST
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City | OCEANSIDE
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State | CA
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Zip | 92054-2518
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Country | US
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Telephone | 760-631-5000
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Fax | 760-414-3892
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Provider Business Mailing Address
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Address Line | 1300 I ST NW STE 400E
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City | WASHINGTON
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State | DC
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Zip | 20005-3318
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Country | US
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Telephone | 202-902-7324
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Fax | 848-213-0063
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A147024
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License Number State | CA
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