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General NPI Number Information
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NPI Number | 1922480649
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Entity Type | Individual
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Provider Name | INA CHEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 6780 MAYFIELD RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2203
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Country | US
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Telephone | 440-312-1101
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Fax | 440-312-7715
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Provider Business Mailing Address
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Address Line | 6780 MAYFIELD RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2203
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Country | US
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Telephone | 440-312-1101
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Fax | 440-312-7715
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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 | 2015017235
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License Number State | MO
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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 | 35.148775
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License Number State | OH
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