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General NPI Number Information
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NPI Number | 1932143898
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Entity Type | Individual
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Provider Name | KHEIM B. CHU DO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075-7738
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Country | US
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Telephone | 972-596-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 BLOSSOM PARK CT
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City | ARLINGTON
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State | TX
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Zip | 76016-4042
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Country | US
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Telephone | 817-938-8570
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M3191
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License Number State | TX
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