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General NPI Number Information
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NPI Number | 1144557240
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Entity Type | Organization
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Legal Business Name | CLARA S.P. CHAN, MD, PC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 9801 GEORGIA AVE SUITE 337
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City | SILVER SPRING
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State | MD
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Zip | 20902-5276
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Country | US
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Telephone | 301-681-4600
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Fax | 301-681-4648
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Provider Business Mailing Address
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Address Line | 9801 GEORGIA AVE SUITE 337
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City | SILVER SPRING
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State | MD
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Zip | 20902-5276
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Country | US
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Telephone | 301-681-4600
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Fax | 301-681-4648
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CLARA S CHAN
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Credential | MD
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Telephone | 301-681-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D41828
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License Number State | MD
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