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General NPI Number Information
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NPI Number | 1417111097
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Entity Type | Individual
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Provider Name | JESSICA LOW CHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 1805 EL CAMINO REAL SUITE 100
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City | PALO ALTO
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State | CA
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Zip | 94306
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Country | US
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Telephone | 650-324-9200
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Fax | 650-326-5793
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Provider Business Mailing Address
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Address Line | 1805 EL CAMINO REAL SUITE 100
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City | PALO ALTO
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State | CA
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Zip | 94306
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Country | US
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Telephone | 650-324-9200
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Fax | 650-326-5793
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ML60019810
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME109514
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License Number State | FL
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