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General NPI Number Information
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NPI Number | 1922315605
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Entity Type | Individual
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Provider Name | HENGJIA CHEN DPT
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Gender | Male
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 16749 STATE ROUTE 706 SUITE 6
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City | MONTROSE
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State | PA
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Zip | 18801-7706
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Country | US
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Telephone | 570-278-1101
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Fax | 570-278-1102
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Provider Business Mailing Address
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Address Line | RR 1 BOX 140C
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City | TOWANDA
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State | PA
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Zip | 18848-9787
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Country | US
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Telephone | 570-265-1111
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Fax | 570-265-7134
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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