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General NPI Number Information
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NPI Number | 1851785463
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Entity Type | Organization
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Legal Business Name | GEORGE CHEN DO PC
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 147 N BRENT ST
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City | VENTURA
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State | CA
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Zip | 93003-2809
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Country | US
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Telephone | 805-652-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 5855 OLIVAS PARK DR
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City | VENTURA
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State | CA
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Zip | 93003-7672
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Country | US
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Telephone | 805-667-2801
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Fax | 805-641-1706
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Authorized Official
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Title or Position | PESIDENT
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Name | GEORGE C CHEN
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Credential | MD
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Telephone | 805-758-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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