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General NPI Number Information
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NPI Number | 1346949294
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Entity Type | Individual
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Provider Name | ANGELA J CHEN
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1301 PUNCHBOWL ST
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City | HONOLULU
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State | HI
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Zip | 96813-2402
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Country | US
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Telephone | 808-691-4292
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Fax |
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Provider Business Mailing Address
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Address Line | 175 RALSTON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3021
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Country | US
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Telephone | 415-205-2642
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 110490
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License Number State | CA
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