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General NPI Number Information
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NPI Number | 1215682430
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Entity Type | Organization
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Legal Business Name | EL CAMINO CLINIC, P.C.
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 2500 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-808-0189
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Fax |
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Provider Business Mailing Address
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Address Line | 405 EL CAMINO REAL STE 607
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City | MENLO PARK
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State | CA
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Zip | 94025-5240
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Country | US
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Telephone | 650-808-0189
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD CHEN
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Credential | MD
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Telephone | 650-808-0189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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