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General NPI Number Information
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NPI Number | 1629406285
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Entity Type | Organization
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Legal Business Name | W. DAVID CHU, M.D. INC.
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 1501 E 16TH ST
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-5924
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Country | US
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Telephone | 949-650-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 E 16TH ST
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-5924
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Country | US
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Telephone | 949-650-9750
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WEIMING DAVID CHU
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Credential | MD
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Telephone | 917-880-2696
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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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