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General NPI Number Information
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NPI Number | 1164656187
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Entity Type | Organization
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Legal Business Name | ANNABELLA B CHU DMD INC
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 2105 BEVERLY BLVD STE. 215
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City | LOS ANGELES
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State | CA
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Zip | 90057-2216
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Country | US
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Telephone | 213-413-4444
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Fax | 213-413-2247
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Provider Business Mailing Address
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Address Line | 2105 BEVERLY BLVD STE. 215
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City | LOS ANGELES
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State | CA
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Zip | 90057-2216
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Country | US
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Telephone | 213-413-4444
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Fax | 213-413-2247
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | MISS ANNABELLA B CHU
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Credential | DMD
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Telephone | 213-413-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50742
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License Number State | CA
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