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General NPI Number Information
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NPI Number | 1205044567
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Entity Type | Organization
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Legal Business Name | ORANGE CLINICAL ASSOCIATES PA
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 610 STRICKLAND DR STE 290
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City | ORANGE
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State | TX
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Zip | 77630-4790
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Country | US
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Telephone | 409-883-5600
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Fax | 409-883-2003
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Provider Business Mailing Address
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Address Line | 610 STRICKLAND DR STE 270
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City | ORANGE
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State | TX
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Zip | 77630-4786
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Country | US
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Telephone | 409-883-5600
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Fax | 409-883-2003
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. MARIAN M. CHEN-HAH
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Credential | MD
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Telephone | 409-883-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | J0832
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J7929
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | J0832
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License Number State | TX
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