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General NPI Number Information
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NPI Number | 1619141629
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Entity Type | Organization
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Legal Business Name | WILLIAM CHEN M.D. INC.
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 18 ENDEAVOR STE 305
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City | IRVINE
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State | CA
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Zip | 92618-3177
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Country | US
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Telephone | 949-585-5188
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Fax | 949-288-0252
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Provider Business Mailing Address
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Address Line | 18 ENDEAVOR STE 305
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City | IRVINE
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State | CA
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Zip | 92618-3177
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Country | US
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Telephone | 949-585-5188
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Fax | 949-288-0252
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM CHEN
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Credential | M.D.
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Telephone | 562-426-0603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G 34389
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License Number State | CA
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