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General NPI Number Information
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NPI Number | 1316062540
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Entity Type | Organization
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Legal Business Name | CHEN & ASSOCIATES LTD
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4168 NAMEOKI ROAD
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City | GRANITE CITY
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State | IL
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Zip | 62040
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Country | US
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Telephone | 618-931-2025
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Fax | 618-931-8888
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Provider Business Mailing Address
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Address Line | 4168 NAMEOKI ROAD
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City | GRANITE CITY
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State | IL
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Zip | 62040
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Country | US
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Telephone | 618-931-2025
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Fax | 618-931-8888
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM H CHEN
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Credential | DMD
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Telephone | 618-931-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 012621
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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