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General NPI Number Information
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NPI Number | 1932527439
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Entity Type | Individual
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Provider Name | DR. JENNY W CHIU
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Gender | Female
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 9505 BRIDGEPORT WAY SW
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City | LAKEWOOD
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State | WA
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Zip | 98499-2801
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Country | US
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Telephone | 253-582-2230
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Fax | 253-582-0654
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Provider Business Mailing Address
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Address Line | 952 SW CAMPUS DR APT 39-B2
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City | FEDERAL WAY
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State | WA
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Zip | 98023-5056
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Country | US
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Telephone | 857-499-0507
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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 | PH60349465
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License Number State | WA
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