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General NPI Number Information
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NPI Number | 1205504602
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Entity Type | Individual
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Provider Name | YAO CHEN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 5819 GULF FWY STE 600
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City | HOUSTON
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State | TX
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Zip | 77023-5353
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Country | US
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Telephone | 713-325-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 105 KENNINGS RD STE 2
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City | CROSBY
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State | TX
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Zip | 77532-5128
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 37829
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License Number State | TX
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