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General NPI Number Information
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NPI Number | 1740303064
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Entity Type | Individual
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Provider Name | JULIE ANN CHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 2702 LOW CT
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City | FAIRFIELD
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State | CA
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Zip | 94534-9771
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Country | US
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Telephone | 707-427-4900
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Fax | 707-432-2820
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Provider Business Mailing Address
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Address Line | 10470 OLD PLACERVILLE RD #100
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City | SACRAMENTO
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State | CA
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Zip | 95827-2539
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Country | US
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Telephone | 707-427-4900
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Fax | 707-432-2820
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A92512
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License Number State | CA
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