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General NPI Number Information
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NPI Number | 1053511857
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Entity Type | Individual
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Provider Name | AMANDA HWE CHAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 20 E 46TH ST SUITE #1000
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City | NEW YORK
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State | NY
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Zip | 10017-2417
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Country | US
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Telephone | 212-813-0850
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Fax | 212-813-1181
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Provider Business Mailing Address
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Address Line | 20 E 46TH ST SUITE #1000
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City | NEW YORK
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State | NY
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Zip | 10017-2417
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Country | US
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Telephone | 212-813-0850
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Fax | 212-813-1181
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 050694
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 51238
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License Number State | CA
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