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General NPI Number Information
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NPI Number | 1578425419
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Entity Type | Individual
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Provider Name | DORCAS JING TENG CHONG RDN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1441 N 12TH ST FL 2
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City | PHOENIX
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State | AZ
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Zip | 85006-2837
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Country | US
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Telephone | 602-521-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 2228 N 52ND ST UNIT 143
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City | PHOENIX
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State | AZ
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Zip | 85008-3445
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Country | US
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Telephone | 269-806-8076
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86446782
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License Number State | AZ
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