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General NPI Number Information
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NPI Number | 1316107006
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Entity Type | Individual
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Provider Name | HONGXIE SHEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 401 TOWNSHIP LINE RD STE B
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City | ELKINS PARK
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State | PA
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Zip | 19027-2202
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Country | US
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Telephone | 215-663-8600
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Fax | 215-663-8305
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Provider Business Mailing Address
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Address Line | 401 E TOWNSHIP LINE ROAD SUITE B
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City | ELKINS PARK
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State | PA
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Zip | 19027-2202
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Country | US
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Telephone | 215-663-8600
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Fax | 215-663-8305
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08908800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD447822
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License Number State | PA
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