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General NPI Number Information
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NPI Number | 1508806274
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Entity Type | Individual
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Provider Name | FRED S CHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | VA PITTSBURGH HEALTHCARE SYSTEM 132Y-A
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-822-3130
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Fax | 412-822-3019
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Provider Business Mailing Address
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Address Line | 611 VICTORIA LN
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City | WEXFORD
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State | PA
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Zip | 15090-8796
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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 |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G73894
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License Number State | CA
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