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General NPI Number Information
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NPI Number | 1285767798
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Entity Type | Organization
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Legal Business Name | PHILIP T C CHAN MD INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 11/18/2007
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Provider Practice Location Address
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Address Line | 821 S GARFIELD AVE SUITE 101
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City | ALHAMBRA
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State | CA
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Zip | 91801-5839
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Country | US
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Telephone | 626-284-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 821 S GARFIELD AVE SUITE 101
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City | ALHAMBRA
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State | CA
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Zip | 91801-5839
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Country | US
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Telephone | 626-284-7300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP T. C. CHAN
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Credential | MD
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Telephone | 626-284-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | G39596
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License Number State | CA
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