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General NPI Number Information
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NPI Number | 1740483601
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Entity Type | Organization
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Legal Business Name | EDWARD CHEN PERINATOLOGY CORP
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 500 N GARFIELD AVE 206
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-288-4218
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Fax | 626-288-4178
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Provider Business Mailing Address
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Address Line | 500 N GARFIELD AVE 206
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1242
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Country | US
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Telephone | 626-288-4218
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Fax | 626-288-4178
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Authorized Official
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Title or Position | MD PRESIDENT
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Name | DR. EDWARD J CHEN
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Credential | MD
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Telephone | 626-288-4218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | C50499
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License Number State | CA
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