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General NPI Number Information
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NPI Number | 1508830811
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Entity Type | Individual
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Provider Name | SAMUEL YAN-HO CHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 2490 W 26TH AVE STE 10A
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City | DENVER
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State | CO
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Zip | 80211-5300
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Country | US
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Telephone | 303-331-6744
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Fax | 303-337-6839
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Provider Business Mailing Address
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Address Line | 2490 W 26TH AVE STE 10A
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City | DENVER
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State | CO
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Zip | 80211-5300
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Country | US
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Telephone | 303-331-6744
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Fax | 303-337-6839
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 33675
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License Number State | CO
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