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NPI 1649251661

NPI 1649251661 : NAILI ALEXANDER CHEN D.O., MPH, MASC : FORT SAM HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1649251661
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    Entity Type          |    Individual 
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    Provider Name        |    NAILI ALEXANDER CHEN D.O., MPH, MASC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/08/2005
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    3551 ROGER BROOKE DR 
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    City                 |    FORT SAM HOUSTON
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    State                |    TX
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    Zip                  |    78234-4504
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    Country              |    US
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    Telephone            |    210-539-9582
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3551 ROGER BROOKE DR 
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    City                 |    FORT SAM HOUSTON
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    State                |    TX
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    Zip                  |    78234-4504
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    Country              |    US
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    Telephone            |    210-539-9582
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    OS-009459-L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207PE0004X
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    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
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    License Number       |    20A7408
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    2083A0100X
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    Taxonomy Name        |    Aerospace Medicine Physician
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    License Number       |    20A7408
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    2083P0500X
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    Taxonomy Name        |    Preventive Medicine/Occupational Environmental Medicine Physician
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    License Number       |    20A7408
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    OS-009459L
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    License Number State |    PA
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Taxonomy #6
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    20A7048
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    20A7408
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    License Number State |    CA
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