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General NPI Number Information
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NPI Number | 1740819937
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Entity Type | Individual
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Provider Name | KATHERINE LYNN CHEN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 6400 CLAYTON RD STE 2800
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1997
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Country | US
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Telephone | 314-767-8873
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Fax |
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Provider Business Mailing Address
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Address Line | 2142 N COVE BLVD
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City | TOLEDO
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State | OH
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Zip | 43606-3895
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Country | US
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Telephone | 419-291-2192
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Fax | 419-479-3297
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 2024028224
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License Number State | MO
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