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General NPI Number Information
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NPI Number | 1174705081
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Entity Type | Individual
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Provider Name | VERNON SY CHIU M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 608-A AIRPORT ROAD
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City | KINSTON
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State | NC
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Zip | 28504
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Country | US
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Telephone | 252-523-8513
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Fax | 252-317-2096
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Provider Business Mailing Address
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Address Line | 608-A AIRPORT ROAD
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City | KINSTON
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State | NC
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Zip | 28504
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Country | US
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Telephone | 252-523-8513
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Fax | 252-317-2096
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2008-01325
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MT189661
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License Number State | PA
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