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General NPI Number Information
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NPI Number | 1376863100
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Entity Type | Individual
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Provider Name | MS. SOO CHIN CHAN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 156 ROUTE 10 WEST
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City | EAST HANOVER
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State | NJ
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Zip | 07936
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Country | US
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Telephone | 973-560-4125
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Fax |
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Provider Business Mailing Address
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Address Line | 8 WARRIOR WAY
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City | PARSIPPANY
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State | NJ
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Zip | 07054
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Country | US
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Telephone | 973-882-6689
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 040013
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02599000
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License Number State | NJ
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