{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WAN YI CHU & CHAO KUEI CHEN DDS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10990 LOWER AZUSA RD",
"SecondLineMailingAddress": "#6",
"MailingAddressCityName": "EL MONTE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91731",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-448-4288",
"MailingAddressFaxNumber": "626-448-1978",
"FirstLinePracticeLocationAddress": "10990 LOWER AZUSA RD",
"SecondLinePracticeLocationAddress": "#6",
"PracticeLocationAddressCityName": "EL MONTE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91731",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-448-4288",
"PracticeLocationAddressFaxNumber": "626-448-1978",
"EnumerationDate": "02/13/2007",
"LastUpdateDate": "08/06/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHU",
"AuthorizedOfficialFirstName": "WAN YI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DENTIST OFFICER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DDS DENTIST",
"AuthorizedOfficialTelephoneNumber": "626-448-4288",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "122300000X",
"TaxonomyName": "Dentist",
"LicenseNumber": "39950141067",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}