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General NPI Number Information
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NPI Number | 1528334232
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Entity Type | Individual
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Provider Name | DR. NGOC QUANG CHU
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Gender | Male
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 6306 DEMOCRACY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-1664
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Country | US
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Telephone | 301-530-2622
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Fax | 240-330-4188
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Provider Business Mailing Address
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Address Line | 6306 DEMOCRACY BLVD
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City | BETHESDA
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State | MD
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Zip | 20817-1664
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Country | US
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Telephone | 301-530-2622
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Fax | 240-330-4188
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 10216
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License Number State | MD
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