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General NPI Number Information
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NPI Number | 1730350547
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Entity Type | Organization
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Legal Business Name | MINSHENG PAIN MANAGEMENT & ANESTHESIA, PLLC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 3916 PRINCE ST STE 353
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City | FLUSHING
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State | NY
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Zip | 11354-5367
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Country | US
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Telephone | 718-321-8066
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Fax | 718-559-6965
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Provider Business Mailing Address
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Address Line | 3916 PRINCE ST STE 353
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City | FLUSHING
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State | NY
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Zip | 11354-5367
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Country | US
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Telephone | 718-321-8066
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Fax | 718-559-6965
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Authorized Official
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Title or Position | OWNER
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Name | CHUN MING CHEN
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Credential | MD
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Telephone | 718-321-8066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 223423
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 223423
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 223423
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 223423
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License Number State | NY
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