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General NPI Number Information
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NPI Number | 1376089748
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Entity Type | Organization
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Legal Business Name | VIPO BOCA, PLLC
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 7001 N FEDERAL HWY STE 104
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City | BOCA RATON
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State | FL
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Zip | 33487-1612
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Country | US
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Telephone | 347-405-8160
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Fax | 347-405-8161
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Provider Business Mailing Address
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Address Line | 7001 N FEDERAL HWY STE 104
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City | BOCA RATON
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State | FL
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Zip | 33487-1612
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Country | US
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Telephone | 347-405-8160
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Fax | 347-405-8161
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Authorized Official
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Title or Position | OWNER
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Name | HALLAND CHEN
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Credential | MD
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Telephone | 347-405-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME109947
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License Number State | FL
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