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General NPI Number Information
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NPI Number | 1699192245
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Entity Type | Organization
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Legal Business Name | CINDY I. CHEN, MD, APC
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 4920 BARRANCA PKWY STE A
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City | IRVINE
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State | CA
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Zip | 92604-4672
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Country | US
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Telephone | 949-552-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 4920 BARRANCA PKWY STE A
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City | IRVINE
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State | CA
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Zip | 92604-4672
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Country | US
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Telephone | 949-552-7546
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CINDY CHEN
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Credential | MD
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Telephone | 949-552-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A63402
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License Number State | CA
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