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General NPI Number Information
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NPI Number | 1891988721
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Entity Type | Individual
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Provider Name | STEVE IFAN CHEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-539-9582
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Fax |
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Provider Business Mailing Address
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Address Line | 4270 GORGAS CIR
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City | JBSA FT SAM HOUSTON
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State | TX
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Zip | 78234-2737
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Country | US
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Telephone | 210-221-8159
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25299
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01061269A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DR.0059365
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License Number State | CO
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