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General NPI Number Information
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NPI Number | 1083646194
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Entity Type | Individual
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Provider Name | PETER J CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 4 PLAZA DR STE 403
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City | SEWELL
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State | NJ
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Zip | 08080-2747
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Country | US
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Telephone | 856-270-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST # 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 856-356-4924
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD066771L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA07445600
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License Number State | NJ
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