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General NPI Number Information
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NPI Number | 1982809307
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Entity Type | Individual
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Provider Name | REBECCA CHAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2007
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 7601 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-3456
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Country | US
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Telephone | 562-385-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-3456
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Country | US
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Telephone | 562-385-7755
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-114954
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 244535
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0106549A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A114093
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License Number State | CA
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