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General NPI Number Information
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NPI Number | 1255674404
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Entity Type | Individual
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Provider Name | TINGFANG (TINA) CHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD DIVISION OF CHILD AND ADOLESCENT PSYCHIATRY
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City | PHILADELPHIA
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State | PA
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Zip | 19104
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Country | US
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Telephone | 908-930-6604
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Fax |
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Provider Business Mailing Address
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Address Line | 2145 BERKS RD
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City | LANSDALE
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State | PA
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Zip | 19446-5902
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Country | US
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Telephone | 908-930-6604
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MT204181
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD455862
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License Number State | PA
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