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General NPI Number Information
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NPI Number | 1922645621
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Entity Type | Individual
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Provider Name | MARY CHEN MD
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Gender | Female
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 121 N NYES RD
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City | HARRISBURG
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State | PA
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Zip | 17112-3247
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Country | US
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Telephone | 717-531-8674
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Fax |
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Provider Business Mailing Address
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Address Line | 121 N NYES RD
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City | HARRISBURG
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State | PA
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Zip | 17112-3247
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Country | US
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Telephone | 717-531-8674
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2022024119
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD487736
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License Number State | PA
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