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General NPI Number Information
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NPI Number | 1487190492
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Entity Type | Individual
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Provider Name | REMINGTON STANLEY GO CHUA MSN, FNP-BC, CWON
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Gender | Male
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 1815 ARNOLD DR
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City | MARTINEZ
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State | CA
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Zip | 94553-4219
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Country | US
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Telephone | 650-271-5059
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 ARNOLD DR
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City | MARTINEZ
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State | CA
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Zip | 94553-4219
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Country | US
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Telephone | 650-271-5059
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95034403
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 785570
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 783570
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WX1500X
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Taxonomy Name | Ostomy Care Registered Nurse
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License Number | 783570
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License Number State | CA
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