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General NPI Number Information
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NPI Number | 1649352774
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Entity Type | Individual
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Provider Name | KATHY DIANA CHEN MD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ERIE AVENUE AT FRONT STREET ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN, GASTRO
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City | PHILADELPHIA
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State | PA
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Zip | 19134
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Country | US
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Telephone | 215-427-6778
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Fax | 215-427-6782
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Provider Business Mailing Address
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Address Line | 329 MULBERRY LN
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City | ELKINS PARK
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State | PA
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Zip | 19027-1610
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Country | US
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Telephone | 215-886-1379
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Fax | 215-427-6782
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | MD-424334
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License Number State | PA
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