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General NPI Number Information
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NPI Number | 1184898785
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Entity Type | Organization
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Legal Business Name | NGOC Q. CHU, DDS, PA
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 841 QUINCE ORCHARD BLVD STE C
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1615
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Country | US
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Telephone | 301-948-1225
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Fax | 301-948-1225
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Provider Business Mailing Address
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Address Line | 841 QUINCE ORCHARD BLVD STE C
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1615
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Country | US
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Telephone | 301-948-1225
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Fax | 301-948-1225
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Authorized Official
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Title or Position | OFFICER
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Name | DR. NGOC Q CHU
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Credential | DDS
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Telephone | 301-948-1225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 10216
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License Number State | MD
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