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General NPI Number Information
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NPI Number | 1871679282
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Entity Type | Individual
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Provider Name | JADE WOO CHEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8955 EDMONSTON RD SUITE E
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City | GREENBELT
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State | MD
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Zip | 20770-1006
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Country | US
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Telephone | 301-441-1233
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Fax | 301-384-3820
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Provider Business Mailing Address
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Address Line | 717 STRATFORD MANOR TER
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City | SILVER SPRING
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State | MD
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Zip | 20905-5982
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Country | US
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Telephone | 301-384-3820
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Fax | 301-384-3820
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1609
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License Number State | MD
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