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General NPI Number Information
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NPI Number | 1114537990
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Entity Type | Organization
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Legal Business Name | BOR-HAN CHIU, DO, PC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 11103 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-6914
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Country | US
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Telephone | 310-734-8526
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Fax |
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Provider Business Mailing Address
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Address Line | 11103 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-6914
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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 | BOR-HAN CHIU
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Credential | DO
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Telephone | 323-673-8168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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