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General NPI Number Information
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NPI Number | 1639344575
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Entity Type | Organization
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Legal Business Name | THOMAS T CHEN, MD, LTD
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 653 N TOWN CENTER DR SUITE 300
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City | LAS VEGAS
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State | NV
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Zip | 89144-0514
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Country | US
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Telephone | 702-456-7255
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Fax | 702-456-7855
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Provider Business Mailing Address
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Address Line | PO BOX 370908
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City | LAS VEGAS
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State | NV
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Zip | 89137-0908
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Country | US
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Telephone | 702-456-7255
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Fax | 702-456-7855
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MISS BEVERLY ANN RODERICK
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Credential |
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Telephone | 702-456-7255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8155
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License Number State | NV
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