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General NPI Number Information
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NPI Number | 1326817610
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Entity Type | Individual
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Provider Name | CHRISTINE CHEN
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Gender | Female
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 70 PARK ST STE 302
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City | MONTCLAIR
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State | NJ
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Zip | 07042-5907
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Country | US
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Telephone | 201-342-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 149 RIVERVIEW AVE
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City | NORTH ARLINGTON
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State | NJ
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Zip | 07031-5944
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14976500
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License Number State | NJ
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