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General NPI Number Information
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NPI Number | 1194714261
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Entity Type | Organization
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Legal Business Name | VIVIAN CHEN, M.D., P.A.
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | C5 CORNWALL CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3352
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Country | US
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Telephone | 732-257-5767
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Fax | 732-238-3771
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Provider Business Mailing Address
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Address Line | C5 CORNWALL DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3352
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Country | US
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Telephone | 732-257-5767
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Fax | 732-238-3771
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Authorized Official
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Title or Position | PRESIDENT
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Name | KENNETH EDWARD YANG
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Credential | M.D.
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Telephone | 732-257-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | NJMA020738
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License Number State | NJ
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