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General NPI Number Information
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NPI Number | 1306061221
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Entity Type | Individual
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Provider Name | BENJAMIN I-MING CHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 635 N BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-2316
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Country | US
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Telephone | 215-855-4444
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Fax | 215-855-8092
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST 1402
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4404
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Country | US
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Telephone | 800-321-9999
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Fax | 215-870-8715
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD436213
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License Number State | PA
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