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General NPI Number Information
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NPI Number | 1497732937
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Entity Type | Organization
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Legal Business Name | PEGGY CHEN MD INC
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1658 SOQUEL DR SUITE H
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1706
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Country | US
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Telephone | 831-464-7000
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Fax | 831-464-7001
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Provider Business Mailing Address
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Address Line | 1658 SOQUEL DRIVE SUITE H
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City | SANTA CRUZ
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State | CA
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Zip | 95065-1706
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Country | US
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Telephone | 831-464-7000
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Fax | 831-464-7001
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Authorized Official
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Title or Position | PRESIDENT OF PEGGY CHEN MD INC
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Name | PEGGY CHI CHEN
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Credential | MD
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Telephone | 831-464-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A68794
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | A68794
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License Number State | CA
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