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General NPI Number Information
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NPI Number | 1962770818
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Entity Type | Individual
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Provider Name | MARY CHRISTINE T CHU DPT
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Gender | Female
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 5252 BALBOA AVE STE 901
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City | SAN DIEGO
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State | CA
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Zip | 92117-6917
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Country | US
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Telephone | 619-880-0748
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Fax | 858-560-8092
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Provider Business Mailing Address
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Address Line | 5252 BALBOA AVE STE 901
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City | SAN DIEGO
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State | CA
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Zip | 92117-6917
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Country | US
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Telephone | 619-880-0748
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Fax | 858-560-8092
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 38406
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License Number State | CA
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