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General NPI Number Information
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NPI Number | 1417523515
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Entity Type | Individual
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Provider Name | RAYMOND BRIAN CHU PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 1200 SW 27TH ST
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City | RENTON
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State | WA
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Zip | 98057-2603
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Country | US
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Telephone | 206-630-7910
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Fax | 206-877-0752
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Provider Business Mailing Address
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Address Line | 115 107TH ST SW UNIT B
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City | EVERETT
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State | WA
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Zip | 98204-7033
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Country | US
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Telephone | 805-990-5691
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03440520
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61099454
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License Number State | WA
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