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General NPI Number Information
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NPI Number | 1043761034
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Entity Type | Individual
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Provider Name | SHUJING CHEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 3703 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27455
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Country | US
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Telephone | 336-540-1344
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 GARDEN VILLAGE CT APT J
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City | GREENSBORO
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State | NC
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Zip | 27410-8706
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Country | US
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Telephone | 917-803-9753
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26536
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License Number State | NC
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