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General NPI Number Information
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NPI Number | 1235300690
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Entity Type | Organization
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Legal Business Name | STEVEN L. CHIU, D.D.S., INC.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 13768 ROSWELL AVE STE 211
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City | CHINO
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State | CA
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Zip | 91710-1407
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Country | US
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Telephone | 909-590-8255
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Fax | 626-965-6786
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Provider Business Mailing Address
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Address Line | 13768 ROSWELL AVE STE 211
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City | CHINO
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State | CA
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Zip | 91710-1407
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Country | US
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Telephone | 909-590-8255
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Fax | 626-965-6786
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LI-CHUN CHIU
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Credential |
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Telephone | 909-590-8255
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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 | 38661
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License Number State | CA
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