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General NPI Number Information
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NPI Number | 1134816952
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Entity Type | Individual
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Provider Name | CHRISTINE CHIA-JANE CHEN MA
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Gender | Female
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 03/16/2024
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Provider Practice Location Address
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Address Line | 3100 MOWRY AVE STE 303
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City | FREMONT
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State | CA
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Zip | 94538-1531
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Country | US
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Telephone | 510-794-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 36343 TUNBRIDGE DR
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City | NEWARK
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State | CA
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Zip | 94560-2056
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Country | US
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Telephone | 510-304-2854
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT145790
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License Number State | CA
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