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General NPI Number Information
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NPI Number | 1538521653
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Entity Type | Individual
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Provider Name | DAVID CHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 7601 STONERIDGE DR
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City | PLEASANTON
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State | CA
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Zip | 94588-4501
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Country | US
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Telephone | 925-847-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 420 EDINBURGH CIR
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City | DANVILLE
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State | CA
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Zip | 94526-2900
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Country | US
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Telephone | 925-913-0197
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A157084
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License Number State | CA
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