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General NPI Number Information
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NPI Number | 1346451887
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Entity Type | Organization
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Legal Business Name | RICHARD H CHU MD INC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 933 SOUTH SUNSET AVE SUITE 301
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City | WEST COVINA
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State | CA
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Zip | 91790
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Country | US
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Telephone | 626-960-5464
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Fax | 926-966-0886
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Provider Business Mailing Address
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Address Line | 933 SOUTH SUNSET AVE SUITE 301
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City | WEST COVINA
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State | CA
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Zip | 91790
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Country | US
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Telephone | 626-960-5464
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Fax | 926-966-0886
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD H CHU
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Credential | MD
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Telephone | 626-960-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G41109
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License Number State | CA
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