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General NPI Number Information
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NPI Number | 1699290965
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Entity Type | Organization
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Legal Business Name | YUEN KWAN CHAN OB/GYN NP, MIDWIFE P.C.
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1672 81ST ST FL 3
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City | BROOKLYN
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State | NY
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Zip | 11214-2108
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Country | US
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Telephone | 347-941-0186
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Fax |
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Provider Business Mailing Address
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Address Line | 2962 BRIGHTON 5TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-8514
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Country | US
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Telephone | 917-915-5055
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Fax |
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Authorized Official
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Title or Position | CNM/ DIRECTOR
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Name | YUEN KWAN CHAN
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Credential | CNM, OB/GYN NP, DNP
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Telephone | 347-941-0186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F001357
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License Number State | NY
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