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General NPI Number Information
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NPI Number | 1477148468
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Entity Type | Individual
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Provider Name | DIANA TING CHEN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 150 W HEDDING ST
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City | SAN JOSE
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State | CA
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Zip | 95110-1706
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Country | US
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Telephone | 408-505-9147
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S 3RD ST # 720396
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City | SAN JOSE
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State | CA
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Zip | 95172-3099
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Country | US
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Telephone | 800-275-8777
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 138207
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License Number State | CA
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