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General NPI Number Information
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NPI Number | 1700880408
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Entity Type | Individual
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Provider Name | KURT Y. CHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 35 MEDICAL CT
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City | HARDY
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State | VA
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Zip | 24101-3992
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Country | US
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Telephone | 540-769-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101050710
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0101050710
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License Number State | VA
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