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General NPI Number Information
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NPI Number | 1063568277
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Entity Type | Organization
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Legal Business Name | PATRICIA CHIU, DDS, MS, PC
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 1698 CENTRE ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1240
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Country | US
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Telephone | 617-327-9656
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MORLEY ST
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City | NEEDHAM
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State | MA
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Zip | 02492-3617
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Country | US
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Telephone | 781-559-3077
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PEI-CHING CHIU
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Credential | DDS, MS
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Telephone | 781-559-3077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20251
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License Number State | MA
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