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General NPI Number Information
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NPI Number | 1639699150
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Entity Type | Individual
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Provider Name | JIE-FU CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 1275 YORK AVE BOX. 36
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-7102
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Fax | 212-639-2631
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE BOX. 36
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-7102
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Fax | 212-639-2631
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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 | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) Physician
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License Number | 306192
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 306192
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License Number State | NY
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