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General NPI Number Information
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NPI Number | 1679666333
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Entity Type | Organization
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Legal Business Name | EDDIE P LO DPM AND NATALIE T CHU DPM PLLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 2302 S UNION AVE STE B18
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City | TACOMA
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State | WA
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Zip | 98405-1333
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Country | US
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Telephone | 253-572-4848
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Fax | 253-572-1803
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Provider Business Mailing Address
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Address Line | 2302 S UNION AVE STE B18
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City | TACOMA
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State | WA
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Zip | 98405-1333
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Country | US
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Telephone | 253-572-4848
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Fax | 253-572-1803
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. EDDIE P LO
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Credential | DPM
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Telephone | 253-572-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO00000633
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License Number State | WA
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