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General NPI Number Information
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NPI Number | 1306426416
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Entity Type | Organization
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Legal Business Name | CHEN MEDICAL INC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 100 SHORELINE HIGHWAY BUILDING B SUITE 100-1020
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City | MILL VALLEY
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State | CA
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Zip | 94941
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Country | US
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Telephone | 213-534-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SHORELINE HIGHWAY BUILDING B SUITE 100-1020
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City | MILL VALLEY
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State | CA
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Zip | 94941
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Country | US
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Telephone | 213-534-7330
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | DR. YU CHIA CHEN
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Credential | MD
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Telephone | 213-534-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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