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General NPI Number Information
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NPI Number | 1497785109
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Entity Type | Organization
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Legal Business Name | ALLEN H CHIN OD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/18/2014
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Provider Practice Location Address
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Address Line | 6910 BELLAIRE BLVD SUITE 3
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City | HOUSTON
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State | TX
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Zip | 77074-3509
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Country | US
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Telephone | 713-774-1124
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Fax | 713-774-4038
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Provider Business Mailing Address
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Address Line | 6910 BELLAIRE BLVD SUITE 3
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City | HOUSTON
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State | TX
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Zip | 77074-3509
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Country | US
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Telephone | 713-774-1124
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Fax | 713-774-4038
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ALLEN J. CHIN
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Credential | O.D.
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Telephone | 713-774-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6391TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2319TG
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License Number State | TX
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