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General NPI Number Information
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NPI Number | 1972303162
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Entity Type | Organization
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Legal Business Name | LUCKY CHEN INC.
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 559 DENBIGH BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4215
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Country | US
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Telephone | 757-509-7826
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Fax |
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Provider Business Mailing Address
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Address Line | 11643 BEACH BLVD UNIT A
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City | JACKSONVILLE
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State | FL
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Zip | 32246-6604
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Country | US
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Telephone | 757-509-7826
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. NAKRY OEUR
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Credential |
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Telephone | 757-509-7826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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