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General NPI Number Information
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NPI Number | 1083610273
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Entity Type | Individual
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Provider Name | CHUNG- KWANG CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5000 PHYSICIANS BLVD STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5837
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Country | US
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Telephone | 661-215-1500
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Fax | 661-215-1523
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Provider Business Mailing Address
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Address Line | 4580 CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1104
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Country | US
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Telephone | 661-327-4411
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Fax | 661-215-1560
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A45385
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License Number State | CA
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