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General NPI Number Information
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NPI Number | 1427421577
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Entity Type | Individual
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Provider Name | PETER CHAO PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 03/18/2017
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Provider Practice Location Address
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Address Line | 3943 GRAND AVE
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City | CHINO
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State | CA
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Zip | 91710-5440
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Country | US
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Telephone | 909-590-7597
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Fax | 909-590-9692
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Provider Business Mailing Address
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Address Line | 18543 YORBA LINDA BLVD # 230
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City | YORBA LINDA
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State | CA
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Zip | 92886-4135
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Country | US
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Telephone | 714-889-9000
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 73944
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License Number State | CA
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