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General NPI Number Information
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NPI Number | 1922582766
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Entity Type | Individual
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Provider Name | KEVIN CHEN
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Gender | Male
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 77 7TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-6645
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Country | US
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Telephone | 212-243-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 78TH ST
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City | BROOKLYN
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State | NY
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Zip | 11228-2521
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Country | US
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Telephone | 347-685-5362
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I064305
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License Number State | NY
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