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General NPI Number Information
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NPI Number | 1447526512
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Entity Type | Organization
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Legal Business Name | DORTHA T. CHU M.D., INC
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 25424 ORCHARD VILLAGE RD STE 150
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City | VALENCIA
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State | CA
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Zip | 91355
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Country | US
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Telephone | 661-467-2371
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Fax | 661-753-8647
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Provider Business Mailing Address
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Address Line | 23004 WEYMOUTH PL
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City | VALENCIA
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State | CA
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Zip | 91354-2041
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Country | US
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Telephone | 661-678-3696
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Fax | 888-225-6797
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Authorized Official
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Title or Position | CEO/SURGEON
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Name | DR. DORTHA TAO-YI CHU
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Credential | MD
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Telephone | 661-467-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A86342
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License Number State | CA
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