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General NPI Number Information
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NPI Number | 1073182648
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Entity Type | Individual
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Provider Name | CHASE NATHANIEL WITTER DPM
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Gender | Male
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1200 BARRET BLVD
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City | HENDERSON
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State | KY
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Zip | 42420-4950
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Country | US
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Telephone | 270-844-8600
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Fax | 270-844-8610
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Provider Business Mailing Address
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Address Line | 1200 BARRET BLVD
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City | HENDERSON
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State | KY
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Zip | 42420-4950
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Country | US
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Telephone | 702-844-8725
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 272045
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 41000444A
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License Number State | IN
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