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General NPI Number Information
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NPI Number | 1700513918
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Entity Type | Individual
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Provider Name | YAWEN CHEN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2022
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 333 MAIN ST
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City | WATERVILLE
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State | ME
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Zip | 04901-4922
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Country | US
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Telephone | 207-873-0110
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Fax |
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Provider Business Mailing Address
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Address Line | 112 LINCOLN AVE APT 214
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City | BRONX
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State | NY
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Zip | 10454-4446
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Country | US
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Telephone | 646-226-4796
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN5091
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License Number State | ME
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