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General NPI Number Information
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NPI Number | 1669694766
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Entity Type | Individual
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Provider Name | BEIRU J. CHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 2291 W MARCH LN SUITE 179E
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City | STOCKTON
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State | CA
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Zip | 95207-6652
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Country | US
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Telephone | 209-477-4432
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Fax | 209-320-6136
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Provider Business Mailing Address
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Address Line | PO BOX 77800
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City | STOCKTON
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State | CA
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Zip | 95267-1100
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Country | US
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Telephone | 209-477-4432
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Fax | 209-320-6136
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207ZI0100X
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Taxonomy Name | Immunopathology Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 207ZM0300X
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Taxonomy Name | Medical Microbiology Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 207ZP0104X
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Taxonomy Name | Chemical Pathology Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | C51848
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 207ZP0213X
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Taxonomy Name | Pediatric Pathology Physician
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License Number | C51848
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License Number State | CA
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