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General NPI Number Information
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NPI Number | 1720278575
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Entity Type | Individual
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Provider Name | YAU-RU CHEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 10/13/2008
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Provider Practice Location Address
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Address Line | 3417 VIA LIDO
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3908
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Country | US
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Telephone | 949-673-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 13408 HERITAGE WAY APT 132
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City | TUSTIN
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State | CA
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Zip | 92782-9101
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Country | US
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Telephone | 847-271-0835
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Fax | 610-271-0832
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13316
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License Number State | CA
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