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General NPI Number Information
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NPI Number | 1417013939
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Entity Type | Individual
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Provider Name | WILLIAM CHEN LAC
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 30 S EL CAMINO REAL #111
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City | SAN MATEO
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State | CA
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Zip | 94401-3839
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Country | US
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Telephone | 650-235-6761
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Fax | 650-685-8081
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Provider Business Mailing Address
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Address Line | 1220 SIXTH AVE STE A
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City | BELMONT
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State | CA
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Zip | 94002-3899
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Country | US
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Telephone | 650-235-6761
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Fax | 650-685-8081
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC9853
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License Number State | CA
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