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General NPI Number Information
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NPI Number | 1851603674
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Entity Type | Individual
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Provider Name | CHRISTOPHER CHUN MAN CHEN MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1707 W SAINT MARYS RD STE 275
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City | TUCSON
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State | AZ
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Zip | 85745-2629
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Country | US
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Telephone | 520-276-2270
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Fax | 520-585-5827
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Provider Business Mailing Address
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Address Line | 18000 STUDEBAKER RD STE 800
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City | CERRITOS
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State | CA
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Zip | 90703-2671
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Country | US
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Telephone | 562-735-3226
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | T6765
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 22291
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MC-2460
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 47422
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License Number State | AZ
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