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General NPI Number Information
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NPI Number | 1629141288
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Entity Type | Individual
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Provider Name | ROSEMARY CHANG CHIA CHEN DMD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 2141 WASHINGTON ST STE 102
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City | FERNDALE
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State | WA
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Zip | 98248
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Country | US
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Telephone | 360-629-0580
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Fax | 866-501-0671
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Provider Business Mailing Address
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Address Line | 2141 WASHINGTON ST, STE 102
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City | FERNDALE
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State | WA
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Zip | 98248
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Country | US
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Telephone | 360-629-0580
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Fax | 866-501-0671
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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 | DE00010154
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License Number State | WA
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