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General NPI Number Information
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NPI Number | 1063311538
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Entity Type | Organization
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Legal Business Name | CUPERTINO MEDICAL LASER CENTER
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 10050 BUBB RD STE 1
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City | CUPERTINO
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State | CA
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Zip | 95014-4160
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Country | US
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Telephone | 408-996-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 10050 BUBB RD STE 1
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City | CUPERTINO
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State | CA
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Zip | 95014-4160
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Country | US
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Telephone | 408-996-3376
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. YUNGKUANG CHEN
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Credential |
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Telephone | 408-458-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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