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General NPI Number Information
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NPI Number | 1508879669
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Entity Type | Individual
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Provider Name | LISA CHEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 800 PEAKWOOD DR SUITE 2C
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City | HOUSTON
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State | TX
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Zip | 77090-2900
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Country | US
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Telephone | 281-440-7495
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Fax | 281-440-0759
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Provider Business Mailing Address
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Address Line | 800 PEAKWOOD DR STE 2C
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City | HOUSTON
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State | TX
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Zip | 77090-2913
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Country | US
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Telephone | 713-486-4650
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Fax | 281-440-0759
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | K9753
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License Number State | TX
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