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General NPI Number Information
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NPI Number | 1952638462
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Entity Type | Organization
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Legal Business Name | LULU L. CHEN, MD INC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 711 W COLLEGE ST SUITE 205
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City | LOS ANGELES
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State | CA
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Zip | 90012-1163
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Country | US
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Telephone | 213-620-9335
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Fax | 213-620-9358
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Provider Business Mailing Address
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Address Line | 711 W COLLEGE ST SUITE 205
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City | LOS ANGELES
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State | CA
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Zip | 90012-1163
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Country | US
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Telephone | 213-620-9335
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Fax | 213-620-9358
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Authorized Official
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Title or Position | OWNER
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Name | LULU LIANG-YU CHEN
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Credential | MD
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Telephone | 310-901-4714
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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 | A70027
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License Number State | CA
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