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General NPI Number Information
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NPI Number | 1669203626
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Entity Type | Individual
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Provider Name | ANTHONY BAO TUONG CHU PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 787 AVENIDA CODORNIZ
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City | SAN MARCOS
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State | CA
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Zip | 92069-7355
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Country | US
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Telephone | 949-697-9640
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Fax |
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Provider Business Mailing Address
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Address Line | 787 AVENIDA CODORNIZ
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City | SAN MARCOS
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State | CA
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Zip | 92069-7355
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03444623
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 91824
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License Number State | CA
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