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General NPI Number Information
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NPI Number | 1588309736
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Entity Type | Individual
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Provider Name | JENNIFER MEGAN CHEN DMD
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Gender | Female
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3471 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-5424
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Country | US
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Telephone | 516-536-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 38TH AVE APT 3A
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-2669
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 065027-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14625
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License Number State | CT
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