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General NPI Number Information
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NPI Number | 1811036593
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Entity Type | Organization
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Legal Business Name | CHINTA TONY CHIU MD. PC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 13360 41ST AVE 2ND FLOOR
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City | FLUSHING
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State | NY
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Zip | 11355-5811
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Country | US
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Telephone | 718-886-1884
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Fax | 718-886-1943
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Provider Business Mailing Address
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Address Line | 13360 41ST AVE SECOND FLOOR
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City | FLUSHING
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State | NY
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Zip | 11355-5852
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Country | US
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Telephone | 718-886-1664
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Fax | 718-886-1943
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Authorized Official
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Title or Position | MD
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Name | DR. CHINTA TONY CHIU
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Credential |
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Telephone | 718-886-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 214850
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License Number State | NY
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