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General NPI Number Information
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NPI Number | 1407337876
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Entity Type | Individual
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Provider Name | TAMMY ELIZABETH CHU PA
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 612 W DUARTE RD STE 205
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City | ARCADIA
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State | CA
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Zip | 91007-9229
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Country | US
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Telephone | 626-446-8809
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Fax | 626-446-8268
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Provider Business Mailing Address
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Address Line | 525 SOUTH DR STE 115
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4211
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Country | US
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Telephone | 408-369-5620
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Fax | 408-558-7919
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | PA55857
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License Number State | CA
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