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General NPI Number Information
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NPI Number | 1619308186
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Entity Type | Individual
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Provider Name | CHIA-TSEN CHEN AU.D.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2013
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 15861 WINCHESTER BLVD.
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City | LOS GATOS
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State | CA
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Zip | 95030
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Country | US
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Telephone | 408-395-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 15861 WINCHESTER BLVD.
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City | LOS GATOS
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State | CA
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Zip | 95030
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Country | US
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Telephone | 408-395-6121
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80485
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License Number State | TX
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