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General NPI Number Information
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NPI Number | 1538412937
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Entity Type | Organization
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Legal Business Name | D.CHU, DDS AND ASSOCIATES, PLLC
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Dates
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Enumeration Date | 10/23/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 2619 RED BLUFF RD STE D
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City | PASADENA
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State | TX
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Zip | 77506-5270
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Country | US
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Telephone | 713-942-8225
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Fax | 713-942-8227
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Provider Business Mailing Address
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Address Line | 2619 RED BLUFF RD STE D
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City | PASADENA
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State | TX
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Zip | 77506-5270
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Country | US
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Telephone | 713-942-8225
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Fax | 713-942-8227
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. DARLENE Q CHU
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Credential |
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Telephone | 713-446-3292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19204
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License Number State | TX
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