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General NPI Number Information
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NPI Number | 1710380548
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Entity Type | Individual
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Provider Name | TIFFANY CHU PHARM D
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Gender | Female
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 20572 HOMESTEAD RD
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City | CUPERTINO
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State | CA
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Zip | 95014-0432
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Country | US
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Telephone | 408-253-2005
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 WELCH RD APT 811
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City | PALO ALTO
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State | CA
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Zip | 94304-1902
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Country | US
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Telephone | 626-715-5000
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 71654
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License Number State | CA
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