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NPI 1346064060

NPI 1346064060 : ERIC CHIA-WEI CHEN PA-C : ABILENE, TX

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General NPI Number Information
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    NPI Number           |    1346064060
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC CHIA-WEI CHEN PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/09/2024
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    Last Update Date     |    01/22/2025
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Provider Practice Location Address
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    Address Line         |    1900 PINE ST 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79601-2432
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    Country              |    US
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    Telephone            |    325-670-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2789 E LAKE RD APT 727 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79601-4861
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    Country              |    US
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    Telephone            |    858-231-0329
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA18652
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    License Number State |    TX
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