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General NPI Number Information
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NPI Number | 1518235282
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Entity Type | Organization
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Legal Business Name | JESSICA HY CHEN DDS PS
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 14142 MAIN ST NE SUITE 104
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City | DUVALL
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State | WA
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Zip | 98019-9007
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Country | US
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Telephone | 425-224-6890
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Fax |
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Provider Business Mailing Address
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Address Line | 14142 MAIN ST NE SUITE 104
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City | DUVALL
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State | WA
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Zip | 98019-9007
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Country | US
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Telephone | 425-224-6890
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HONG Y CHEN
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Credential | DDS
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Telephone | 425-312-3889
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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 | DE60073873
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License Number State | WA
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