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General NPI Number Information
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NPI Number | 1831410976
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Entity Type | Individual
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Provider Name | DR. GEORGE CHU
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Gender | Male
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 3414 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-1539
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Country | US
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Telephone | 323-597-1188
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Fax | 323-597-1217
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Provider Business Mailing Address
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Address Line | 1112 CAMELIA DR
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City | ALHAMBRA
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State | CA
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Zip | 91801-5309
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Country | US
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Telephone | 626-863-5674
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 58656
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License Number State | CA
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