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General NPI Number Information
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NPI Number | 1316766587
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Entity Type | Individual
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Provider Name | JAMES CHEN
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Gender | Male
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 3180 CROW CANYON PL STE 140
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City | SAN RAMON
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State | CA
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Zip | 94583-1339
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Country | US
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Telephone | 925-820-1467
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Fax |
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Provider Business Mailing Address
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Address Line | 6503 FLANDERS DR
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City | NEWARK
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State | CA
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Zip | 94560-1162
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Country | US
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Telephone | 707-602-7806
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 146962
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 146961
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License Number State | CA
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