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General NPI Number Information
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NPI Number | 1659534501
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Entity Type | Individual
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Provider Name | RYAN CHUA CHUA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 100 HOSPITAL RD SUITE 2A
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City | LEOMINSTER
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State | MA
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Zip | 01453-2253
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Country | US
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Telephone | 978-466-2692
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 726
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City | LEOMINSTER
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State | MA
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Zip | 01453-0726
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Country | US
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Telephone | 978-466-2692
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Fax | 978-466-4754
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 237513
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 307929
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 254196
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License Number State | MA
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