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General NPI Number Information
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NPI Number | 1902883010
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Entity Type | Individual
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Provider Name | KENNETH H CHEN D. O.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1000 SALEM ROAD, SUITE B
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City | WILLINGBORO
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State | NJ
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Zip | 08046
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Country | US
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Telephone | 609-871-2060
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Fax | 609-871-5467
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Provider Business Mailing Address
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Address Line | 401 ROUTE 73 N BLDG 10, SUITE 320
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City | MARLTON
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State | NJ
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Zip | 08053
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Country | US
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Telephone | 609-871-2060
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MB059485
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License Number State | NJ
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