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General NPI Number Information
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NPI Number | 1376710467
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Entity Type | Organization
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Legal Business Name | CHONG-PING C. LU, M.D. INC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 1000 E LATHAM AVE STE E
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City | HEMET
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State | CA
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Zip | 92543-4409
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Country | US
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Telephone | 951-925-7653
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Fax | 951-925-2211
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Provider Business Mailing Address
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Address Line | 1000 E LATHAM AVE STE E
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City | HEMET
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State | CA
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Zip | 92543-4409
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Country | US
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Telephone | 951-925-7653
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Fax | 951-925-2211
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHONG-PING CARL LU
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Credential | M.D.
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Telephone | 951-925-7653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | A351380
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License Number State | CA
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