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General NPI Number Information
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NPI Number | 1871974428
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Entity Type | Individual
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Provider Name | JULIA FAYANNE CHEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 1265 S UTICA AVE STE 300
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City | TULSA
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State | OK
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Zip | 74104-4243
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Country | US
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Telephone | 918-592-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 S UTICA AVE STE 300
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City | TULSA
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State | OK
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Zip | 74104-4243
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Country | US
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Telephone | 918-592-0999
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Fax | 918-592-1021
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 64587
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 42844
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License Number State | OK
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