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General NPI Number Information
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NPI Number | 1598924185
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Entity Type | Individual
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Provider Name | GWOCHUAN CHEN
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Gender | Male
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 20106 PIONEER BLVD STE D
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City | CERRITOS
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State | CA
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Zip | 90703-7400
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Country | US
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Telephone | 562-402-9527
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Fax |
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Provider Business Mailing Address
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Address Line | 20106 S PIONEER BLVD #D
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 562-402-9527
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC0013370
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License Number State | CA
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