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General NPI Number Information
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NPI Number | 1750475372
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Entity Type | Organization
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Legal Business Name | HUBERT W CHOW MD INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 1111 E. LAS TUNAS DRIVE
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City | SAN GABRIEL
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State | CA
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Zip | 91776
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Country | US
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Telephone | 626-286-8473
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Fax | 626-286-4181
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Provider Business Mailing Address
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Address Line | 1111 E. LAS TUNAS DRIVE
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City | SAN GABRIEL
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State | CA
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Zip | 91776
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Country | US
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Telephone | 626-286-8473
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Fax | 626-286-4181
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HUBERT WING CHOW
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Credential | M.D.
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Telephone | 626-286-8473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G45435
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License Number State | CA
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