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General NPI Number Information
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NPI Number | 1528393204
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Entity Type | Individual
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Provider Name | ROGER CHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 2880 ROUTE 35
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City | HAZLET
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State | NJ
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Zip | 07730-1504
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Country | US
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Telephone | 732-888-1238
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CAPTIVA LN
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City | MORGANVILLE
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State | NJ
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Zip | 07751-9403
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Country | US
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Telephone | 626-227-4997
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA09172200
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License Number State | NJ
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