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General NPI Number Information
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NPI Number | 1972026391
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Entity Type | Individual
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Provider Name | KEVIN YI CHEN ACNP
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Gender | Male
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 2751 W RIVER DR APT 921
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City | SACRAMENTO
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State | CA
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Zip | 95833-3785
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Country | US
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Telephone | 256-227-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 2751 W RIVER DR APT 921
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City | SACRAMENTO
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State | CA
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Zip | 95833-3785
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Country | US
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Telephone | 916-679-3590
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Fax | 256-227-7011
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95006730
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95006730
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License Number State | CA
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