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General NPI Number Information
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NPI Number | 1598777492
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Entity Type | Organization
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Legal Business Name | RICHARD CHAI M.D., MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 375 W CENTRAL AVE STE A
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City | BREA
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State | CA
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Zip | 92821-3042
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Country | US
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Telephone | 714-482-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 375 W CENTRAL AVE STE A
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City | BREA
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State | CA
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Zip | 92821-3042
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Country | US
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Telephone | 714-482-2121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD CHAI
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Credential | M.D.
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Telephone | 310-483-7757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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