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General NPI Number Information
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NPI Number | 1255567061
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Entity Type | Organization
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Legal Business Name | CHENMED RX HALLANDALE
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 410 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5584
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Country | US
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Telephone | 954-454-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 410 E HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5584
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Country | US
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Telephone | 954-454-5777
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHRISTOPHER J. CHEN
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Credential | M.D.
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Telephone | 954-454-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State | FL
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