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General NPI Number Information
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NPI Number | 1417873316
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Entity Type | Organization
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Legal Business Name | CONNECT PRIMARY CARE SANTA CRUZ
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 3321 MISSION DR
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1827
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Country | US
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Telephone | 831-609-9163
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Fax | 831-461-3696
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Provider Business Mailing Address
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Address Line | 935 32ND AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-4310
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Country | US
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Telephone | 831-236-2556
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Fax | 831-461-3696
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT PING CHEN
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Credential | MD
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Telephone | 831-236-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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