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General NPI Number Information
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NPI Number | 1487983292
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Entity Type | Individual
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Provider Name | NIVEA YOCASTA CHUAN M.D
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Gender | Female
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 229 E KINGSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10458-4413
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Country | US
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Telephone | 718-584-8000
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Fax | 718-584-7132
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Provider Business Mailing Address
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Address Line | 49 ASHTON RD
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City | YONKERS
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State | NY
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Zip | 10705-2803
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Country | US
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Telephone | 347-731-3698
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 255508
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License Number State | NY
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