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General NPI Number Information
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NPI Number | 1326263278
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Entity Type | Individual
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Provider Name | EDWARD SHIN-SUNG CHU D.C.
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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 | 03/08/2019
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Provider Practice Location Address
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Address Line | 2041 HALLMARK DR STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95825-2212
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Country | US
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Telephone | 916-488-4849
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Fax | 916-929-3299
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Provider Business Mailing Address
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Address Line | 2041 HALLMARK DR STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95825-2212
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Country | US
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Telephone | 916-488-4849
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Fax | 916-929-3299
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC29449
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | DC 29449
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License Number State | CA
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