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General NPI Number Information
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NPI Number | 1477749893
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Entity Type | Organization
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Legal Business Name | DR.PETER CHEN D.D.S
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 965 W 7TH ST
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City | OXNARD
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State | CA
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Zip | 93030-6756
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Country | US
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Telephone | 805-487-4742
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Fax |
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Provider Business Mailing Address
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Address Line | 965 W 7TH ST
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City | OXNARD
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State | CA
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Zip | 93030-6756
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Country | US
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Telephone | 805-487-4742
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | PETER CHEN
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Credential | D.D.S
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Telephone | 805-487-4742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | B31225-01
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License Number State | CA
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