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General NPI Number Information
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NPI Number | 1528902913
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Entity Type | Organization
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Legal Business Name | MARILYN CHEN PHD PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 134 BROADWAY FL 4
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City | BROOKLYN
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State | NY
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Zip | 11249-6233
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Country | US
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Telephone | 805-403-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 134 BROADWAY FL 4
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City | BROOKLYN
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State | NY
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Zip | 11249-6233
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Country | US
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Telephone | 805-403-6010
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | DR. MARILYN CHEN
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Credential | PHD
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Telephone | 805-403-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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