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General NPI Number Information
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NPI Number | 1356306567
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Entity Type | Organization
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Legal Business Name | LAWRENCE C CHEN DDS INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2400 NILES CORTLAND RD SE
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-544-0044
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Fax | 330-544-0655
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Provider Business Mailing Address
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Address Line | 2400 NILES CORTLAND RD SE
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-544-0044
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Fax | 330-544-0655
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE C CHEN
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Credential | DDS
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Telephone | 330-544-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 19251
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License Number State | OH
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