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General NPI Number Information
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NPI Number | 1942514856
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Entity Type | Individual
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Provider Name | NYAN-RU CHEN
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Gender | Female
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 1895 CENTRE ST SUITE 205
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1933
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Country | US
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Telephone | 857-519-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 44 RICHWOOD ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-2526
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Country | US
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Telephone | 617-323-1517
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 237877
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License Number State | MA
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