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NPI Code Detail

MEDICARE: MRS. KAREN J CHASON DO

MEDICARE:  MRS. KAREN J CHASON  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0805XGeriatric Psychiatry Physician05006086FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157336OTHERFLBCBS

General Provider Information

NPI Number : 1245217793
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN J CHASON DO
Provider Business Mailing Address
First Line : 114 W 5TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6125
Country : US
Telephone Number : 850-521-8700
Fax Number : 850-521-8710
Provider Business Practice Location Address
First Line : 114 W 5TH AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-6125
Country : US
Telephone Number : 850-521-8700
Fax Number : 850-521-8710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/08/2007

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