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General NPI Number Information
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NPI Number | 1760458954
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Entity Type | Individual
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Provider Name | STEPHEN DOUGLAS CHIN MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 350 HAWTHORNE AVE EMERGENCY DEPT
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City | OAKLAND
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State | CA
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Zip | 94609-3108
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Country | US
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Telephone | 510-869-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 3036 HILLSIDE DR
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City | BURLINGAME
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State | CA
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Zip | 94010-5910
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Country | US
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Telephone | 650-685-0903
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G80748
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License Number State | CA
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