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General NPI Number Information
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NPI Number | 1821417486
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Entity Type | Organization
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Legal Business Name | MONIKA CHUGH, OD, INC.
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 39190 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-1612
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Country | US
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Telephone | 510-791-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 39190 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-1612
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONIKA CHUGH
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Credential |
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Telephone | 510-853-3360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1108
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License Number State | CA
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