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General NPI Number Information
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NPI Number | 1407662844
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Entity Type | Individual
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Provider Name | RONALD CHU
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Gender | Male
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 903 PROTON RD
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4203
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Country | US
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Telephone | 210-228-9923
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 STARR RNCH APT 4305
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City | BOERNE
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State | TX
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Zip | 78015-5026
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Country | US
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Telephone | 808-348-6076
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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