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General NPI Number Information
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NPI Number | 1952329054
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Entity Type | Individual
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Provider Name | EDWARD REN-MING CHU M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 747 52ND ST
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City | OAKLAND
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State | CA
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Zip | 94609-1809
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Country | US
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Telephone | 510-428-3885
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Fax |
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Provider Business Mailing Address
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Address Line | 2776 ASHWELL LN
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City | SAN RAMON
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State | CA
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Zip | 94582-2904
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Country | US
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Telephone | 925-829-2223
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G80866
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | G80866
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License Number State | CA
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