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NPI 1578799953

NPI 1578799953 : DAVID RYAN CHIU D.D.S. : HIGHLANDS RANCH, CO

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General NPI Number Information
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    NPI Number           |    1578799953
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID RYAN CHIU D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/30/2009
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    Last Update Date     |    04/07/2021
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Provider Practice Location Address
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    Address Line         |    9362 S COLORADO BLVD UNIT D14 
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    City                 |    HIGHLANDS RANCH
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    State                |    CO
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    Zip                  |    80126-5207
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    Country              |    US
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    Telephone            |    720-863-7855
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9362 S COLORADO BLVD UNIT D14 
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    City                 |    HIGHLANDS RANCH
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    State                |    CO
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    Zip                  |    80126-5207
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    Country              |    US
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    Telephone            |    720-863-7855
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DEN.00204441
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    25406
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    2901019999
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    License Number State |    MI
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