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General NPI Number Information
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NPI Number | 1033998265
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Entity Type | Individual
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Provider Name | PO CHAN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 4318 169TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-3247
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Country | US
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Telephone | 929-888-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 99 E 7TH ST APT 6
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City | NEW YORK
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State | NY
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Zip | 10009-5758
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Country | US
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Telephone | 929-888-3377
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | NY
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