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General NPI Number Information
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NPI Number | 1215187117
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPITAL INPATIENT PHYSICIANS AT EL CAMINO HOSPITAL
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 1601 EL CAMINO REAL STE 303
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City | BELMONT
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State | CA
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Zip | 94002-3943
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Country | US
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Telephone | 650-654-3954
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Fax | 650-654-3997
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Provider Business Mailing Address
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Address Line | 1601 EL CAMINO REAL STE 303
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City | BELMONT
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State | CA
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Zip | 94002-3943
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Country | US
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Telephone | 650-654-3954
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Fax | 650-654-3997
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES JYH-YENN CHEN
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Credential | M.D.
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Telephone | 650-654-3954
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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 | A0063211
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License Number State | CA
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