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General NPI Number Information
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NPI Number | 1790856870
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Entity Type | Organization
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Legal Business Name | DASUN CHEN, MD, INC
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 355 PLACENTIA AVE SUITE #303
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3311
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Country | US
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Telephone | 949-631-6299
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Fax | 949-631-6222
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Provider Business Mailing Address
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Address Line | 355 PLACENTIA AVE SUITE #303
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3311
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Country | US
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Telephone | 949-631-6299
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Fax | 949-631-6222
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DASUN CHEN
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Credential | M.D.
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Telephone | 949-631-6299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A060410
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License Number State | CA
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