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General NPI Number Information
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NPI Number | 1679840243
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Entity Type | Individual
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Provider Name | HENG-YING I CHU D.M.D
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Gender | Male
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Dates
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Enumeration Date | 11/25/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 BANK ST STE 240
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1554
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Country | US
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Telephone | 301-948-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BANK ST #240 ORAL & MAXILLOFACIAL SURGERY
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City | GAITHERSBURG
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State | MD
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Zip | 20878
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Country | US
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Telephone | 301-948-9800
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22D102485300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22D102485300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0401415763
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DEN1001786
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 16451
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License Number State | MD
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