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General NPI Number Information
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NPI Number | 1679879894
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Entity Type | Individual
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Provider Name | JONES W CHAN
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Gender | Male
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 38 WARREN ST
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City | NEW YORK
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State | NY
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Zip | 10007-1086
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Country | US
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Telephone | 212-801-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 6119 37TH AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-2548
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Country | US
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Telephone | 718-986-2711
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03391900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 033.0134885
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 055437
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License Number State | NY
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