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General NPI Number Information
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NPI Number | 1265648570
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Entity Type | Individual
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Provider Name | ANDREW H. CHEN D.D.S., FADSA
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 1000 NEWBURY ROAD SUITE 260
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City | NEWBURY PARK
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State | CA
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Zip | 91320
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Country | US
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Telephone | 805-480-0092
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Fax | 805-480-0998
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Provider Business Mailing Address
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Address Line | 1000 NEWBURY ROAD SUITE 260
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City | NEWBURY PARK
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State | CA
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Zip | 91320
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Country | US
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Telephone | 805-480-0092
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Fax | 805-480-0998
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 40215
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | G1032
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D40215
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License Number State | CA
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