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NPI 1083577829

NPI 1083577829 : SARAH CHAN CGC : MENLO PARK, CA

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General NPI Number Information
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    NPI Number           |    1083577829
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH CHAN CGC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    535 MIDDLEFIELD RD STE 170 
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    City                 |    MENLO PARK
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    State                |    CA
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    Zip                  |    94025-3465
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    Country              |    US
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    Telephone            |    908-552-9295
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    916 S ELDORADO ST UNIT B 
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    City                 |    SAN MATEO
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    State                |    CA
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    Zip                  |    94402-1842
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    Country              |    US
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    Telephone            |    
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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        |    170300000X
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    Taxonomy Name        |    Genetic Counselor (M.S.)
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    License Number       |    22830
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    License Number State |    CA
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