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General NPI Number Information
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NPI Number | 1649699307
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Entity Type | Individual
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Provider Name | EDWARD RICKIE LIM CHU MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 7703 FLOYD CURL DR # 6230
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-567-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR # 6230
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-567-8406
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Fax |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 65349
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10050031
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | S4118
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License Number State | TX
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