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General NPI Number Information
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NPI Number | 1770758476
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Entity Type | Individual
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Provider Name | ADRIAN CHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 2150 CORBIN AVE
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City | NEW BRITAIN
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State | CT
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Zip | 06053-2298
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Country | US
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Telephone | 860-612-6305
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Fax | 860-612-6304
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Provider Business Mailing Address
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Address Line | 2150 CORBIN AVE
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City | NEW BRITAIN
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State | CT
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Zip | 06053-2298
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Country | US
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Telephone | 860-612-6305
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Fax | 860-612-6304
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 002854
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MB08971300
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 74604
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD442832
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License Number State | PA
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