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General NPI Number Information
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NPI Number | 1588716633
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Entity Type | Individual
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Provider Name | SUELENE YEONG YU CHEN DDS
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16900 GOLDENWEST ST SUITE A
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-8405
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Country | US
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Telephone | 714-375-2436
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Fax | 714-960-8957
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Provider Business Mailing Address
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Address Line | 7047 TOLEDO CT
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6244
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Country | US
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Telephone | 714-336-8989
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Fax | 714-960-8957
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 43127
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License Number State | CA
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