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General NPI Number Information
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NPI Number | 1437558202
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Entity Type | Organization
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Legal Business Name | SOPHIA T. CHEN, M.D. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 345 9TH ST SUITE 204
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City | OAKLAND
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State | CA
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Zip | 94607-6522
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Country | US
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Telephone | 510-350-8741
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Fax |
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Provider Business Mailing Address
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Address Line | 345 9TH ST SUITE 204
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City | OAKLAND
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State | CA
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Zip | 94607-6522
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Country | US
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Telephone | 510-350-8741
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SOPHIA T CHEN
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Credential | M.D.
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Telephone | 510-350-8741
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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 | A82768
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License Number State | CA
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