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General NPI Number Information
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NPI Number | 1801317425
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Entity Type | Individual
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Provider Name | VICTOR CHU PT
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Gender | Male
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 3455 PEACHTREE INDUSTRIAL BLVD STE 825
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City | DULUTH
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State | GA
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Zip | 30096-6500
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Country | US
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Telephone | 678-534-4727
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Fax | 678-567-6701
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Provider Business Mailing Address
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Address Line | PO BOX 441146
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City | KENNESAW
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State | GA
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Zip | 30160-9522
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Country | US
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Telephone | 678-459-3745
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT012847
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License Number State | GA
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