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General NPI Number Information
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NPI Number | 1467531343
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Entity Type | Organization
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Legal Business Name | CHAW P.SUN.,M.D.P.C.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 9337 CALUMET AVE SUITE B
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City | MUNSTER
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State | IN
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Zip | 46321-2894
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Country | US
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Telephone | 219-836-1213
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Fax | 219-836-1213
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Provider Business Mailing Address
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Address Line | 9337 CALUMET AVE SUITE B
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City | MUNSTER
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State | IN
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Zip | 46321-2894
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Country | US
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Telephone | 219-836-1213
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Fax | 219-836-1213
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAW P SUN
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Credential | MD
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Telephone | 219-836-1213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01027634A
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License Number State | IN
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