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General NPI Number Information
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NPI Number | 1518115104
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Entity Type | Organization
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Legal Business Name | JAMES H CHEN JR DMD PA
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1983 PGA BLVD STE.101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33408-3001
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Country | US
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Telephone | 561-656-2436
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Fax | 561-656-2446
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Provider Business Mailing Address
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Address Line | 1983 PGA BLVD STE.101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33408-3001
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Country | US
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Telephone | 561-656-2436
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Fax | 561-656-2446
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. JAMES CHEN JR.
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Credential | D.M.D.
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Telephone | 561-656-2436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 17216
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License Number State | FL
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