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General NPI Number Information
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NPI Number | 1720968076
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Entity Type | Individual
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Provider Name | RAVEN CHONG RCP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 1527 STATE ROUTE 27 STE 1100
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City | SOMERSET
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State | NJ
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Zip | 08873-3979
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Country | US
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Telephone | 732-545-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 508 BOUND BROOK AVE
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4024
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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 | 2279P1005X
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Taxonomy Name | Pulmonary Rehabilitation Registered Respiratory Therapist
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License Number |
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License Number State |
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