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Dr. Yan Chen
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Yan Chen |
| Gender: | M |
| Provider License Number If Given: | 2004007950 |
NPI Information:
| NPI: | 1184627101 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 7/18/2008 |
Provider Business Mailing Address:
| Address: | 17501 E 40 HWY STE 213A Independence, MO 64055 |
| Phone Number: | 8164784887 |
| Fax Number: | 8164787222 |
Provider Business Practice Location Address:
| Address: | 3800 S WHITNEY AVE # 200 Independence, MO 64055 |
| Phone Number: | 8164784887 |
| Fax Number: | 8164787222 |
Provider Taxonomy:
| Primary: | 174400000X |
| Secondary (if any): | |
| State: | MO |
