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General NPI Number Information
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NPI Number | 1558761890
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Entity Type | Individual
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Provider Name | CHAN YEU PU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | PULMONARY AT ST. ELIZABETH'S MEDICAL CENTER 77 WARREN ST SUITE 200
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City | BRIGHTON
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State | MA
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Zip | 02135
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Country | US
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Telephone | 617-789-2545
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Fax | 617-779-6991
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Provider Business Mailing Address
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Address Line | BMCHS PROVIDER ENROLLMENT 960 MASSACHUSETTS AVE FLR 2
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City | BOSTON
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State | MA
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Zip | 02118
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125065720
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 84537
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 84537
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 290558
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 290558
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License Number State | MA
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