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General NPI Number Information
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NPI Number | 1447354824
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Entity Type | Individual
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Provider Name | BOB C CHEN DPM
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 1004 E GARVEY AVE
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City | MONTEREY PARK
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State | CA
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Zip | 91755-3031
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Country | US
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Telephone | 626-280-5035
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 BENECIA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90025-5150
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Country | US
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Telephone | 310-923-0847
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4358
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License Number State | CA
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