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General NPI Number Information
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NPI Number | 1710391271
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Entity Type | Individual
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Provider Name | BRANDON CHIU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 100 FODEN RD STE 100
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2327
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Country | US
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Telephone | 207-347-2910
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Fax | 207-523-8593
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Provider Business Mailing Address
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Address Line | 300 SOUTHBOROUGH DR STE 120
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-6978
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Country | US
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Telephone | 207-347-2947
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Fax | 207-874-1483
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD27304
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 125-064580
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License Number State | IL
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