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NPI 1104717875

NPI 1104717875 : CHI YU RPH : UNIVERSAL CITY, TX

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General NPI Number Information
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    NPI Number           |    1104717875
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    Entity Type          |    Individual 
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    Provider Name        |    CHI YU RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/11/2025
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    Last Update Date     |    07/11/2025
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Provider Practice Location Address
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    Address Line         |    1836 PAT BOOKER RD 
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    City                 |    UNIVERSAL CITY
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    State                |    TX
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    Zip                  |    78148-3437
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    Country              |    US
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    Telephone            |    210-658-8011
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    326 S FLORES ST APT 5067 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78204-1495
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    Country              |    US
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    Telephone            |    210-517-5036
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    Fax                  |    
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    75771
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    License Number State |    TX
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