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NPI 1093740789

NPI 1093740789 : JAMES J CHAO MD : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1093740789
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES J CHAO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    07/01/2014
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Provider Practice Location Address
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    Address Line         |    200 W ARBOR DR MAIL CODE 8890
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92103-9001
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    Country              |    US
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    Telephone            |    619-543-2696
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    499 N. EL CAMINO REAL, SUITE C-200 OASISMD,
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    City                 |    ENCINITAS
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    State                |    CA
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    Zip                  |    92024
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    Country              |    US
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    Telephone            |    760-635-7800
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    Fax                  |    760-635-7801
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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        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    G85358
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    License Number State |    CA
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