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Individual
MR. SHUN-CHIEH JACK CHAN
Active
Individual
MR. SHUN-CHIEH JACK CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
577720
CA
163WH0200X
Home Health Registered Nurse
63642
CA
363LF0000X
Family Nurse Practitioner
Primary
15505
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
15505
CA
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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