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General NPI Number Information
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NPI Number | 1497927610
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Entity Type | Individual
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Provider Name | FUN CHI TU MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 6625 W SAHARA AVE STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89146-0856
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Country | US
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Telephone | 725-202-3439
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Fax | 725-214-4636
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Provider Business Mailing Address
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Address Line | 6625 W SAHARA AVE STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89146-0856
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Country | US
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Telephone | 725-202-3439
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Fax | 725-214-4636
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A118249
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 14948
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 14948
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License Number State | NV
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