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General NPI Number Information
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NPI Number | 1205634532
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Entity Type | Individual
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Provider Name | CHIHOUNG JONATHAN CHEN
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 800 S FREDERICK AVE STE 103
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4154
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Country | US
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Telephone | 301-709-4551
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Fax | 301-990-1177
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Provider Business Mailing Address
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Address Line | 13594 COBRA DR
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City | HERNDON
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State | VA
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Zip | 20171-4079
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Country | US
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Telephone | 703-462-0266
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Fax | 703-462-0266
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U02986
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License Number State | MD
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