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General NPI Number Information
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NPI Number | 1437039450
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Entity Type | Individual
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Provider Name | JIAOYU CHEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | BUNKYO, KOISHIKAWA 3 CHOME HMLET 301
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City | TOKYO
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State | ZZ - FOREIGN COUNTRIES
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Zip | 1120002
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Country | JP
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | BUNKYO, KOISHIKAWA 3 CHOME HMLET 301
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City | TOKYO
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State | ZZ - FOREIGN COUNTRIES
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Zip | 1120002
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Country | JP
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149025429
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License Number State | IL
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