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General NPI Number Information
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NPI Number | 1831847938
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Entity Type | Individual
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Provider Name | RONWALDO CHUA AGPCNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 11999 KATY FWY STE 375
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City | HOUSTON
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State | TX
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Zip | 77079-1628
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Country | US
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Telephone | 713-240-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 ROSEPOINT CT
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City | FRESNO
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State | TX
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Zip | 77545-1419
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Country | US
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Telephone | 832-526-1567
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1073137
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License Number State | TX
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