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General NPI Number Information
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NPI Number | 1184917387
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Entity Type | Individual
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Provider Name | MS. HUEY-JEN P CHEN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 7531 S STONY ISLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60649-3954
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Country | US
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Telephone | 773-947-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 190 E DELAWARE PL
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City | CHICAGO
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State | IL
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Zip | 60611-1813
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Country | US
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Telephone | 773-947-7500
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 164-000293
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164-000293
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License Number State | IL
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