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General NPI Number Information
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NPI Number | 1609064492
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Entity Type | Organization
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Legal Business Name | DAVID K CHEN MD INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 101 E BEVERLY BLVD SUITE 203
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City | MONTEBELLO
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State | CA
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Zip | 90640-4300
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Country | US
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Telephone | 323-728-7238
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Fax | 323-728-6343
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Provider Business Mailing Address
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Address Line | 101 E BEVERLY BLVD SUITE 203
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City | MONTEBELLO
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State | CA
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Zip | 90640-4300
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Country | US
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Telephone | 323-728-7238
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Fax | 323-728-6343
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID KUAN-HUNG CHEN
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Credential | M.D.
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Telephone | 323-728-7238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A83518
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License Number State | CA
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