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General NPI Number Information
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NPI Number | 1013153402
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Entity Type | Organization
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Legal Business Name | SEAN Y CHIU
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 1834 W LINCOLN AVE STE N
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City | ANAHEIM
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State | CA
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Zip | 92801-5425
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Country | US
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Telephone | 714-687-9090
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Fax | 714-687-9092
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Provider Business Mailing Address
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Address Line | 1834 W LINCOLN AVE STE N
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City | ANAHEIM
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State | CA
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Zip | 92801-5425
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Country | US
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Telephone | 714-687-9090
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Fax | 714-687-9092
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. FRANCINE CHIU
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Credential |
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Telephone | 714-687-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY46148
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License Number State | CA
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