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General NPI Number Information
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NPI Number | 1740537281
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Entity Type | Organization
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Legal Business Name | CHU EYE INSTITUTE, P.A.
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 3017 W 7TH ST # 210
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City | FORT WORTH
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State | TX
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Zip | 76107-2223
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Country | US
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Telephone | 817-346-7077
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Fax | 817-346-6998
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Provider Business Mailing Address
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Address Line | 4631 S HULEN ST
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City | FORT WORTH
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State | TX
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Zip | 76132-1401
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Country | US
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Telephone | 817-346-7077
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Fax | 817-346-6998
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. RICHARD CHUN-HSIEN CHU
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Credential | D.O.
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Telephone | 817-346-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | P3302
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License Number State | TX
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