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General NPI Number Information
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NPI Number | 1710179304
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Entity Type | Organization
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Legal Business Name | SUN-HWAN CHU, PH.D., LLC
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 6160 SHALLOWFORD RD STE 103
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City | CHATTANOOGA
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State | TN
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Zip | 37421-7213
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Country | US
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Telephone | 423-893-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 2546 CRESTWOOD DR
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City | CHATTANOOGA
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State | TN
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Zip | 37415-6320
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Country | US
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Telephone | 423-893-0178
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | DR. SUN-HWAN CHU
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Credential | PH.D., LLC
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Telephone | 423-893-0178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0000001513
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License Number State | TN
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