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General NPI Number Information
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NPI Number | 1447496310
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Entity Type | Individual
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Provider Name | JASON CHIH CHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2008
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 2431 86TH ST
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City | BROOKLYN
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State | NY
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Zip | 11214-4448
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Country | US
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Telephone | 917-912-4901
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Fax | 718-513-6504
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Provider Business Mailing Address
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Address Line | 8705 25TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-5401
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Country | US
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Telephone | 718-513-6503
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Fax | 718-513-6504
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 250958
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License Number State | NY
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