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General NPI Number Information
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NPI Number | 1225520547
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Entity Type | Organization
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Legal Business Name | THEODORE J. CHU, MD, ALLERGY AND ASTHMA, INC.
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 130 BELLEROSE DR
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City | SAN JOSE
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State | CA
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Zip | 95128-1729
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Country | US
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Telephone | 408-816-8923
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Fax | 669-242-7914
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Provider Business Mailing Address
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Address Line | 130 BELLEROSE DR
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City | SAN JOSE
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State | CA
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Zip | 95128-1729
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Country | US
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Telephone | 408-816-8923
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Fax | 669-242-7914
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Authorized Official
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Title or Position | PRESIDENT
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Name | THEODORE J CHU
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Credential | MD
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Telephone | 408-816-8923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | G12838
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License Number State | CA
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