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General NPI Number Information
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NPI Number | 1427499961
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Entity Type | Individual
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Provider Name | CHUNG KUANG CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 2845 GREENBRIER RD
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City | GREEN BAY
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State | WI
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Zip | 54311-6519
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Country | US
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Telephone | 920-288-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2845 GREENBRIER RD
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City | GREEN BAY
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State | WI
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Zip | 54311-6519
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Country | US
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Telephone | 920-288-8000
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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 | 256568
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 58213
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 71521
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License Number State | WI
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