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General NPI Number Information
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NPI Number | 1669409116
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Entity Type | Organization
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Legal Business Name | ALLEN CHU MD PA
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15655 CYPRESS WOODS MEDICAL DRIVE SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77014-1488
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Country | US
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Telephone | 281-537-0171
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Fax | 281-537-5144
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Provider Business Mailing Address
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Address Line | 15655 CYPRESS WOODS MEDICAL DRIVE SUITE 400
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City | HOUSTON
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State | TX
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Zip | 77014-1488
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Country | US
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Telephone | 281-537-0171
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Fax | 281-537-5144
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. C ALLEN CHU
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Credential | MD, PHD
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Telephone | 281-537-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K7002
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License Number State | TX
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