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General NPI Number Information
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NPI Number | 1063502565
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Entity Type | Individual
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Provider Name | WALTER J. CHAO O.D., A.P.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/04/2013
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Provider Practice Location Address
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Address Line | 7867 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6916
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Country | US
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Telephone | 954-966-4335
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Fax | 954-966-4891
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Provider Business Mailing Address
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Address Line | 7867 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6916
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Country | US
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Telephone | 954-966-4335
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Fax | 954-966-4891
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC-1819
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OPC-1819
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP466
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License Number State | FL
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