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General NPI Number Information
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NPI Number | 1558645036
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Entity Type | Organization
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Legal Business Name | JOHN C.CHEN.M.D., P.S.,INC
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 8659 INVERNESS DR NE
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City | SEATTLE
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State | WA
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Zip | 98115-3987
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Country | US
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Telephone | 206-526-0991
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Fax | 206-523-9383
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Provider Business Mailing Address
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Address Line | 8659 INVERNESS DR NE
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City | SEATTLE
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State | WA
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Zip | 98115-3987
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Country | US
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Telephone | 206-526-0991
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Fax | 206-523-9383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN C CHEN
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Credential | M.D
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Telephone | 206-755-5833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD 00035600
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License Number State | WA
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