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General NPI Number Information
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NPI Number | 1982082491
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Entity Type | Individual
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Provider Name | PEIWEN CHEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 132 S 10TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5244
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Country | US
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Telephone | 215-955-7264
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Fax |
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Provider Business Mailing Address
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Address Line | 1 JUNIPER AVE
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City | SOMERDALE
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State | NJ
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Zip | 08083-1453
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Country | US
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Telephone | 518-396-9647
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD470925
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MT208801
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License Number State | PA
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