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General NPI Number Information
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NPI Number | 1447562921
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Entity Type | Individual
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Provider Name | VICTOR CHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 3100 TONGASS AVE
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City | KETCHIKAN
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State | AK
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Zip | 99901-5746
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Country | US
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Telephone | 907-228-7660
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Fax | 907-228-8549
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Provider Business Mailing Address
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Address Line | 1115 SE 164TH AVE DEPT 358
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City | VANCOUVER
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State | WA
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Zip | 98683-8004
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Country | US
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Telephone | 360-729-1462
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Fax | 360-729-3104
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A117772
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 135627
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License Number State | AK
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