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General NPI Number Information
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NPI Number | 1588832349
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Entity Type | Organization
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Legal Business Name | GEORGE J. CHU
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST STE 102
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City | HONOLULU
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State | HI
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Zip | 96813-2401
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Country | US
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Telephone | 808-532-1311
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Fax | 808-536-2224
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST STE 102
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City | HONOLULU
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State | HI
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Zip | 96813-2401
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Country | US
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Telephone | 808-532-1311
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Fax | 808-536-2224
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Authorized Official
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Title or Position | PROPRIETOR
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Name | DR. GEORGE J CHU
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Credential | MD
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Telephone | 808-532-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 3268
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License Number State | HI
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