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General NPI Number Information
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NPI Number | 1598797268
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Entity Type | Individual
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Provider Name | CHARLES YEN CHIU M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 185 BERRY ST STE 180A
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1739
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Country | US
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Telephone | 415-514-8219
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Fax | 415-889-6441
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Provider Business Mailing Address
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Address Line | 185 BERRY STREET, BOX #0134
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City | SAN FRANCISCO
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State | CA
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Zip | 94107
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Country | US
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Telephone | 415-514-8219
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Fax | 415-889-6441
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A81538
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A81358
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License Number State | CA
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