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General NPI Number Information
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NPI Number | 1053342576
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Entity Type | Individual
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Provider Name | ALBERT K CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 361 W WATER ST
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City | ELMIRA
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State | NY
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Zip | 14905-2519
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Country | US
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Telephone | 607-733-0780
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Fax |
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Provider Business Mailing Address
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Address Line | 852 UPLAND DRIVE
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City | ELMIRA
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State | NY
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Zip | 14905-1421
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Country | US
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Telephone | 607-732-0921
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Fax | 607-732-0921
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 110105
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 110105MD
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License Number State | NY
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