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General NPI Number Information
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NPI Number | 1275658312
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Entity Type | Individual
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Provider Name | BANG BA CHU MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 9100 SOUTHWEST FWY STE 215
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City | HOUSTON
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State | TX
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Zip | 77074-1513
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Country | US
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Telephone | 713-777-1508
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Fax | 713-777-1509
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Provider Business Mailing Address
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Address Line | 9100 SOUTHWEST FWY STE 415
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City | HOUSTON
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State | TX
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Zip | 77074-1519
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Country | US
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Telephone | 713-777-1508
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Fax | 713-777-1509
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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 | F1361
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | F1361
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License Number State | TX
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