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General NPI Number Information
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NPI Number | 1669402145
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Entity Type | Individual
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Provider Name | BETTY CHEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7208
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Country | US
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Telephone | 214-645-0624
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Fax | 214-645-0078
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Provider Business Mailing Address
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Address Line | 4 DESERT WILLOW CT
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City | WICHITA FALLS
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State | TX
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Zip | 76309-2717
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Country | US
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Telephone | 940-228-5328
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Fax | 940-228-5328
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L7330
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License Number State | TX
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