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General NPI Number Information
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NPI Number | 1467241471
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Entity Type | Individual
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Provider Name | MICHELLE CHEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1798 N GAREY AVE
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City | POMONA
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State | CA
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Zip | 91767-2918
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Country | US
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Telephone | 909-865-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 216 W VICTORIA AVE
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City | MONTEBELLO
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State | CA
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Zip | 90640-3554
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Country | US
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Telephone | 949-689-7522
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA66404
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | CA
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