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General NPI Number Information
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NPI Number | 1033502729
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Entity Type | Organization
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Legal Business Name | JAMES CHEN ORTHODONTICS PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 19 11TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-4308
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Country | US
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Telephone | 650-570-4365
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Fax | 650-570-4127
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Provider Business Mailing Address
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Address Line | 19 11TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-4308
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Country | US
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Telephone | 650-570-4365
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Fax | 650-570-4127
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Authorized Official
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Title or Position | OWNER
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Name | DR. J. JAMES CHEN
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Credential | DDS, MS, PHD
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Telephone | 650-570-4365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 44576
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License Number State | CA
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