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General NPI Number Information
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NPI Number | 1437818580
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Entity Type | Individual
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Provider Name | YUN-CHU CHEN DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 622 W 168TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 420 W 42ND ST APT 22B
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City | NEW YORK
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State | NY
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Zip | 10036-6849
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Country | US
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Telephone | 213-713-4643
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE61192038
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 000120
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License Number State | NY
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