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General NPI Number Information
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NPI Number | 1780911107
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Entity Type | Organization
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Legal Business Name | DR. CHAO & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 4909 W PARK BLVD SUITE 135
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City | PLANO
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State | TX
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Zip | 75093-2311
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Country | US
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Telephone | 972-985-7916
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Fax | 972-985-7933
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Provider Business Mailing Address
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Address Line | 6600 FEDERAL HALL ST
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City | PLANO
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State | TX
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Zip | 75023-2348
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Country | US
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Telephone | 214-334-5524
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PETER CHAO
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Credential | OD
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Telephone | 214-334-5524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 05895TG
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License Number State | TX
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