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General NPI Number Information
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NPI Number | 1952338592
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Entity Type | Individual
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Provider Name | CLARA CHAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9801 GEORGIA AVE SUITE 337
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City | SILVER SPRING
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State | MD
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Zip | 20902-5276
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Country | US
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Telephone | 301-681-4600
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Fax | 301-681-4648
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Provider Business Mailing Address
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Address Line | 7001 BYBROOK LN
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City | CHEVY CHASE
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State | MD
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Zip | 20815-3166
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Country | US
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Telephone | 301-656-1831
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Fax | 301-656-1903
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D41828
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License Number State | MD
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