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General NPI Number Information
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NPI Number | 1326235169
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Entity Type | Organization
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Legal Business Name | NANCY CHEN, MD, INC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 579 FARRINGTON HWY STE 101
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City | KAPOLEI
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State | HI
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Zip | 96707-2027
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Country | US
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Telephone | 808-674-2273
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Fax | 808-674-2552
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Provider Business Mailing Address
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Address Line | 579 FARRINGTON HWY STE 101
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City | KAPOLEI
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State | HI
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Zip | 96707-2027
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Country | US
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Telephone | 808-674-2273
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Fax | 808-674-2552
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY CHEN
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Credential | MD
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Telephone | 808-674-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 10756
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License Number State | HI
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