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General NPI Number Information
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NPI Number | 1659886422
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Entity Type | Individual
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Provider Name | CHEN-CHI CHEN
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Gender | Female
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 12/02/2017
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Provider Practice Location Address
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Address Line | 15 ELMWOOD PL
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2836
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Country | US
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Telephone | 848-219-9225
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ELMWOOD PL
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2836
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Country | US
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Telephone | 848-219-9225
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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 | 006066-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00128100
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License Number State | NJ
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