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General NPI Number Information
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NPI Number | 1427031335
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Entity Type | Individual
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Provider Name | DENNIS FUA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 1425 S MAIN ST KAISER -- WALNUT CREEK MEDICAL CENTER; ANESTHESIA
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5318
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Country | US
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Telephone | 916-346-8001
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Fax |
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Provider Business Mailing Address
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Address Line | 1537 SISKIYOU DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2116
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Country | US
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Telephone | 916-346-8001
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Fax | 925-947-0721
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A90073
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License Number State | CA
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