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General NPI Number Information
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NPI Number | 1851939433
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Entity Type | Individual
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Provider Name | SHIRLEY CHEN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2019
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 3069 44TH ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11103-2220
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Country | US
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Telephone | 929-274-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 230 CLINTON ST APT 14H
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City | NEW YORK
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State | NY
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Zip | 10002-7522
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 100066
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 091525
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License Number State | NY
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