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General NPI Number Information
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NPI Number | 1396193090
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Entity Type | Individual
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Provider Name | YU CHEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 549 E BRAMBLETON AVE
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City | NORFOLK
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State | VA
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Zip | 23510-2905
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Country | US
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Telephone | 757-533-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 1395 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5710
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Country | US
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Telephone | 757-533-9441
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101022513
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102206103
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License Number State | VA
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