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General NPI Number Information
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NPI Number | 1396144556
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Entity Type | Individual
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Provider Name | CHIH ANDREW CHEN OD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1320 W HWY 290
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City | ELGIN
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State | TX
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Zip | 78621-2128
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Country | US
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Telephone | 512-285-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 12407 SPLIT RAIL PKWY
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City | AUSTIN
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State | TX
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Zip | 78750-1146
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Country | US
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Telephone | 408-828-1036
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8448
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License Number State | TX
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