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General NPI Number Information
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NPI Number | 1811371412
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Entity Type | Individual
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Provider Name | STEPHANIE CHEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 105 SOUTH ALFRED STREET
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City | ALEXANDRIA
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State | VA
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Zip | 22314
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Country | US
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Telephone | 703-652-7803
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Fax |
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Provider Business Mailing Address
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Address Line | 2140 L ST NW #1113
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City | WASHINGTON
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State | DC
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Zip | 20037-1510
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002493
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2852
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 15310
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP1000353
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4801
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License Number State | OR
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