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NPI 1902844517

NPI 1902844517 : HSIAO-FEN CHEN MD INC : SAN GABRIEL, CA

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General NPI Number Information
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    NPI Number           |    1902844517
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    Entity Type          |    Organization 
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    Legal Business Name  |    HSIAO-FEN CHEN MD INC 
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Dates
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    Enumeration Date     |    06/04/2006
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    Last Update Date     |    01/23/2023
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Provider Practice Location Address
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    Address Line         |    140 W VALLEY BLVD SUITE 220
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    City                 |    SAN GABRIEL
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    State                |    CA
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    Zip                  |    91776-3760
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    Country              |    US
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    Telephone            |    626-307-0797
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    Fax                  |    626-307-0805
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Provider Business Mailing Address
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    Address Line         |    PO BOX 798 
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    City                 |    ROSEMEAD
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    State                |    CA
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    Zip                  |    91770-0798
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    Country              |    US
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    Telephone            |    626-307-0797
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    Fax                  |    626-307-0805
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     HSIAO-FEN  CHEN 
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    Credential           |    M.D
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    Telephone            |    626-307-0797
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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       |    A54242
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    License Number State |    CA
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