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General NPI Number Information
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NPI Number | 1396300356
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Entity Type | Individual
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Provider Name | SONITA CHUO TEM MD
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Gender | Female
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 633 GOV CARLOS G CAMACHO RD
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City | TAMUNING
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State | GU
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Zip | 96913-3194
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Country | US
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Telephone | 419-699-0508
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Fax |
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Provider Business Mailing Address
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Address Line | 318 MAHOGANY LN
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City | PRINCETON
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State | TX
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Zip | 75407-3348
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MTL-2025-003
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License Number State | GU
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