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General NPI Number Information
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NPI Number | 1386833762
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Entity Type | Organization
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Legal Business Name | CHEN HA, MD, PA
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 5115 N GALLOWAY AVE SUITE 302
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City | MESQUITE
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State | TX
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Zip | 75150-7526
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Country | US
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Telephone | 972-613-2127
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Fax |
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Provider Business Mailing Address
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Address Line | 1340 SHEPHERDS CREEK DR
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City | ALLEN
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State | TX
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Zip | 75002-7133
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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 | MD
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Name | DR. CHEN HA
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Credential |
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Telephone | 972-613-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | M0099
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License Number State | TX
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