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General NPI Number Information
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NPI Number | 1700129483
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Entity Type | Individual
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Provider Name | HAICHEN CHEN L.AC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 545 KEARNY AVE SUITE2
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City | KEARNY
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State | NJ
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Zip | 07032-2759
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Country | US
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Telephone | 512-698-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 91 BEECH ST APT 41
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City | KEARNY
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State | NJ
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Zip | 07032-2769
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Country | US
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Telephone | 512-698-7210
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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 | AC01416
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License Number State | TX
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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 | 25MZ00102200
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License Number State | NJ
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