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General NPI Number Information
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NPI Number | 1598072001
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Entity Type | Organization
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Legal Business Name | Q.M. CHEN, D.M.D., PH.D, P.A.
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 2504 PLANTATION CENTER DR
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City | MATTHEWS
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State | NC
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Zip | 28105-5298
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Country | US
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Telephone | 704-841-2237
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Fax | 704-841-8260
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Provider Business Mailing Address
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Address Line | 2504 PLANTATION CENTER DR
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City | MATTHEWS
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State | NC
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Zip | 28105-5298
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Country | US
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Telephone | 704-841-2237
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Fax | 704-841-8260
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. QING MING CHEN
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Credential | D.M.D.
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Telephone | 704-298-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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