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General NPI Number Information
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NPI Number | 1194358200
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Entity Type | Individual
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Provider Name | MING LUN CHIU MD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 626-362-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 251 E HURON ST
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City | CHICAGO
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State | IL
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Zip | 60611-2908
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Country | US
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Telephone | 530-377-6026
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 125.075331
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036162712
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License Number State | IL
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