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General NPI Number Information
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NPI Number | 1821032939
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Entity Type | Individual
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Provider Name | HELEN CHONG JEU M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 235 LAURSEN STREET HEMET RADIOLOGY MEDICAL GROUP, INC.
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-765-5417
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Fax | 951-765-5418
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Provider Business Mailing Address
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Address Line | 22526 CANYON LAKE DR S
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City | CANYON LAKE
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State | CA
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Zip | 92587-7559
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Country | US
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Telephone | 951-765-5417
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C38254
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License Number State | CA
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