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General NPI Number Information
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NPI Number | 1003958281
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Entity Type | Organization
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Legal Business Name | WAN YI CHU & CHAO KUEI CHEN DDS INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 10990 LOWER AZUSA RD #6
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City | EL MONTE
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State | CA
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Zip | 91731
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Country | US
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Telephone | 626-448-4288
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Fax | 626-448-1978
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Provider Business Mailing Address
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Address Line | 10990 LOWER AZUSA RD #6
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City | EL MONTE
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State | CA
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Zip | 91731
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Country | US
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Telephone | 626-448-4288
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Fax | 626-448-1978
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Authorized Official
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Title or Position | DENTIST OFFICER
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Name | DR. WAN YI CHU
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Credential | DDS DENTIST
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Telephone | 626-448-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 39950141067
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License Number State | CA
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