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General NPI Number Information
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NPI Number | 1386996569
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Entity Type | Individual
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Provider Name | CHI-FONG JHA PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 203-200-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 132 HOPE ST UNIT G
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City | STAMFORD
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State | CT
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Zip | 06906-2544
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Country | US
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Telephone | 718-753-2573
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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 | 015917
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4218
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 015917
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License Number State | NY
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