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General NPI Number Information
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NPI Number | 1659658367
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Entity Type | Individual
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Provider Name | XIAO CHONG CHEN L.AC.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 224 W 35TH ST STE 905
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City | NEW YORK
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State | NY
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Zip | 10001-2534
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Country | US
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Telephone | 206-866-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 33 SHERIDAN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4513
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Country | US
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Telephone | 917-535-3856
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 003775
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License Number State | NY
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