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General NPI Number Information
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NPI Number | 1801956099
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Entity Type | Individual
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Provider Name | JIAN CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-340-3911
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Fax | 760-341-8992
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Provider Business Mailing Address
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Address Line | 4647 ZION AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120-2507
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Country | US
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Telephone | 619-528-5000
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A66271
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License Number State | CA
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