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General NPI Number Information
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NPI Number | 1265536544
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Entity Type | Individual
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Provider Name | EIN YUAN ALAN SHEN MD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40 UNION AVE SUITE 201
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City | IRVINGTON
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State | NJ
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Zip | 07111-3290
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Country | US
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Telephone | 973-372-6663
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Fax | 973-372-0322
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Provider Business Mailing Address
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Address Line | 40 UNION AVE SUITE 201
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City | IRVINGTON
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State | NJ
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Zip | 07111-3290
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Country | US
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Telephone | 973-372-6663
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Fax | 973-372-0322
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | NA 31702
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License Number State | NJ
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