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General NPI Number Information
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NPI Number | 1093140980
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Entity Type | Organization
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Legal Business Name | CHRISTINA CHEN MD PLLC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 1000 W. HWY 6 SUITE 120
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City | WACO
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State | TX
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Zip | 76712-3787
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Country | US
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Telephone | 254-306-0347
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Fax | 254-488-3284
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Provider Business Mailing Address
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Address Line | 1000 W. HWY 6 SUITE 120
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City | WACO
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State | TX
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Zip | 76712-3787
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Country | US
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Telephone | 254-306-0347
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Fax | 254-488-3284
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. CHRISTINA ANN CHEN
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Credential | MD
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Telephone | 254-306-0347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | M1579
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License Number State | TX
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