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General NPI Number Information
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NPI Number | 1679820385
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Entity Type | Organization
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Legal Business Name | OSCAR L. CHIEN, MD, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 1448 S SAN GABRIEL BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3656
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Country | US
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Telephone | 626-569-2888
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Fax | 626-569-9929
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Provider Business Mailing Address
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Address Line | P.O. BOX 80157
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City | SAN MARINO
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State | CA
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Zip | 91118-8157
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Country | US
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Telephone | 626-569-2888
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Fax | 626-569-9929
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JENNIFER CHAO
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Credential |
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Telephone | 626-569-2888
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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 | A54999
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License Number State | CA
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