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General NPI Number Information
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NPI Number | 1457578726
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Entity Type | Organization
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Legal Business Name | ORTHODONTICS- PATRICK P CHEN, DDS, PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 4865 HEDGCOXE RD SUITE # 200
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City | PLANO
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State | TX
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Zip | 75024-2406
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Country | US
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Telephone | 972-312-0570
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Fax |
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Provider Business Mailing Address
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Address Line | 4865 HEDGCOXE RD SUITE # 200
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City | PLANO
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State | TX
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Zip | 75024-2406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK CHEN
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Credential | D.D.S.
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Telephone | 972-312-0570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20566
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License Number State | TX
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