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General NPI Number Information
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NPI Number | 1598006363
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Entity Type | Individual
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Provider Name | RUO-HSUAN CHEN DMD
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Gender | Female
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 2056 SUPERIOR DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-5024
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Country | US
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Telephone | 507-315-2932
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Fax |
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Provider Business Mailing Address
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Address Line | 3117 BANCROFT RD APT F
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City | BALTIMORE
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State | MD
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Zip | 21215-3189
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 15312
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14494
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License Number State | MN
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