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General NPI Number Information
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NPI Number | 1285940411
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Entity Type | Organization
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Legal Business Name | CHENN-YOW FUH M D INC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 382 W OLIVE AVE
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City | MERCED
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State | CA
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Zip | 95348-3137
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Country | US
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Telephone | 209-722-3311
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Fax | 209-722-3313
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Provider Business Mailing Address
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Address Line | PO BOX 2321
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City | MERCED
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State | CA
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Zip | 95344-0321
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Country | US
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Telephone | 209-722-3311
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Fax | 209-722-3313
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Authorized Official
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Title or Position | CEO
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Name | DR. CHENN-YOW FUH
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Credential | M.D.
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Telephone | 209-722-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A38829
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License Number State | CA
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