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General NPI Number Information
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NPI Number | 1316190333
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Entity Type | Organization
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Legal Business Name | YUAN-FANG CHEN'S MEDICAL OFFICE P C
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 33-70 PRINCE ST. CA-18
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-886-8835
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Fax | 718-886-8831
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Provider Business Mailing Address
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Address Line | 79 GILMAR LN
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2304
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Country | US
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Telephone | 718-886-8835
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Fax | 718-886-8831
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Authorized Official
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Title or Position | MANAGER
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Name | MS. LI-HUA WANG
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Credential |
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Telephone | 718-886-8835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 225375-1
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License Number State | NY
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