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General NPI Number Information
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NPI Number | 1962074302
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Entity Type | Organization
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Legal Business Name | XIAOCHUAN CHEN MD PC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 1090 LA PLAYA DR
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City | HAYWARD
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State | CA
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Zip | 94545-2142
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Country | US
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Telephone | 510-403-1699
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Fax | 510-275-5711
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Provider Business Mailing Address
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Address Line | 1090 LA PLAYA DR
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City | HAYWARD
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State | CA
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Zip | 94545-2142
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Country | US
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Telephone | 510-403-1699
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Fax | 510-275-5711
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Authorized Official
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Title or Position | MD
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Name | XIAOCHUAN CHEN
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Credential | MD
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Telephone | 510-403-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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