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NPI 1376347328

NPI 1376347328 : ALVIN CHAU PA : BAYONNE, NJ

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General NPI Number Information
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    NPI Number           |    1376347328
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    Entity Type          |    Individual 
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    Provider Name        |    ALVIN CHAU PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/01/2025
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    Last Update Date     |    09/06/2025
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Provider Practice Location Address
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    Address Line         |    526 BROADWAY 
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    City                 |    BAYONNE
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    State                |    NJ
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    Zip                  |    07002-3734
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    Country              |    US
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    Telephone            |    201-437-9700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2471 85TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11214-3571
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    Country              |    US
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    Telephone            |    917-873-2330
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    Fax                  |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    033479
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    25MP00916500
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    License Number State |    NJ
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