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General NPI Number Information
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NPI Number | 1396803474
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Entity Type | Individual
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Provider Name | SAMUEL CHEN MD, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 9180 BELLAIRE BLVD SUITE E
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City | HOUSTON
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State | TX
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Zip | 77036-4697
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Country | US
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Telephone | 713-988-8860
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Fax | 713-988-8861
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Provider Business Mailing Address
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Address Line | PO BOX 981095
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City | HOUSTON
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State | TX
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Zip | 77098-8095
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Country | US
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Telephone | 713-988-8860
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Fax | 713-988-8861
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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 | K3125
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License Number State | TX
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