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General NPI Number Information
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NPI Number | 1053507194
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Entity Type | Organization
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Legal Business Name | JASON J CHIU MD INC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 10212 WESTMINSTER AVE STE 102
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4800
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Country | US
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Telephone | 714-210-1718
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Fax |
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Provider Business Mailing Address
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Address Line | 10212 WESTMINSTER AVE STE 102
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON CHIU
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Credential |
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Telephone | 626-253-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A62291
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License Number State | CA
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