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General NPI Number Information
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NPI Number | 1639375991
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Entity Type | Individual
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Provider Name | WILLIAM YEN-JUNG CHEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 259 LAGUNA RD
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City | FULLERTON
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State | CA
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Zip | 92835-2515
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Country | US
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Telephone | 714-738-6651
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Fax |
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Provider Business Mailing Address
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Address Line | 2396 BUCKINGHAM LN
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City | LOS ANGELES
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State | CA
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Zip | 90077-1338
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Country | US
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Telephone | 714-738-6651
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 45838
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License Number State | CA
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