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General NPI Number Information
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NPI Number | 1225132533
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Entity Type | Individual
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Provider Name | JENNY TIEN DIEP MD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 1088 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10128-1132
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Country | US
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Telephone | 212-860-4000
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Fax | 212-722-7365
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Provider Business Mailing Address
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Address Line | 1088 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10128-1132
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Country | US
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Telephone | 212-860-4000
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Fax | 212-722-7365
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD25099
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 230002
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License Number State | NY
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