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General NPI Number Information
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NPI Number | 1750688495
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Entity Type | Organization
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Legal Business Name | WENDY CHEN, CHIROPRACTIC, A PROFESSIONAL CORP
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 233 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-2717
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Country | US
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Telephone | 626-796-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 412 E LA SIERRA DR
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City | ARCADIA
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State | CA
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Zip | 91006-4351
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | D.C., L.AC
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Name | WENDY CHEN
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Credential |
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Telephone | 626-215-2958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC11933
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC30899
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License Number State | CA
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