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General NPI Number Information
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NPI Number | 1508328675
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Entity Type | Individual
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Provider Name | CAITLIN ELIZABETH CHEN DO
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Gender | Female
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 3014 W CHARLESTON BLVD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89102-0083
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Country | US
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Telephone | 702-670-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 W CHARLESTON BLVD STE 130
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City | LAS VEGAS
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State | NV
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Zip | 89102-0083
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Country | US
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Telephone | 702-670-2825
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | DO215514
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License Number State | OR
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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 | DO33322
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License Number State | NV
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