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General NPI Number Information
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NPI Number | 1689830960
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Entity Type | Organization
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Legal Business Name | BRIAN CHU M.D.,P.C.
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 52 EDELWEISS LN
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City | VOORHEES
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State | NJ
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Zip | 08043-2819
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Country | US
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Telephone | 856-719-8040
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 149
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City | VOORHEES
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State | NJ
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Zip | 08043-0149
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Country | US
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Telephone | 856-719-8040
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN CHU
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Credential | M.D.
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Telephone | 856-719-8040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 25MA03993800
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License Number State | NJ
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