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General NPI Number Information
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NPI Number | 1588552749
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Entity Type | Organization
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Legal Business Name | NUBIA CHONG, MD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2173 SALK AVE STE 250
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City | CARLSBAD
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State | CA
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Zip | 92008-7383
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Country | US
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Telephone | 858-215-4252
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 SPAR CT
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City | CARLSBAD
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State | CA
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Zip | 92011-2500
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Country | US
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Telephone | 760-310-9072
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NUBIA CHONG
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Credential | MD
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Telephone | 760-310-9072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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