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General NPI Number Information
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NPI Number | 1942625009
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Entity Type | Organization
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Legal Business Name | DR. TED CHEN, O.D., P.C.
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 6100 ARLINGTON BLVD
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2901
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Country | US
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Telephone | 703-533-0323
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Fax | 703-533-0135
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Provider Business Mailing Address
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Address Line | 4637 ASPEN HILL CT
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City | ANNANDALE
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State | VA
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Zip | 22003-3573
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Country | US
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Telephone | 305-498-7566
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Fax | 703-533-0135
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YING-TA CHEN
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Credential | OD
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Telephone | 703-533-0323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001798
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License Number State | VA
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