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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

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