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General NPI Number Information
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NPI Number | 1679550818
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Entity Type | Individual
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Provider Name | HOWARD JYI JUANG CHUANG MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 3960 KNIGHT ARNOLD #321
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City | MEMPHIS
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State | TN
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Zip | 38118-3009
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Country | US
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Telephone | 901-369-6090
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Fax | 901-369-6091
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Provider Business Mailing Address
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Address Line | 3960 KNIGHT ARNOLD #321
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City | MEMPHIS
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State | TN
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Zip | 38118-3009
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Country | US
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Telephone | 901-369-6090
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Fax | 901-369-6091
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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 | MD0000009768
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License Number State | TN
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