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General NPI Number Information
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NPI Number | 1073361267
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Entity Type | Organization
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Legal Business Name | CHASE MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 05/11/2024
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1772 CATALPA RD
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City | CLEVELAND
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State | OH
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Zip | 44112-1009
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Country | US
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Telephone | 216-288-6121
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Fax |
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Provider Business Mailing Address
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Address Line | 134 E 214TH ST
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City | EUCLID
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State | OH
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Zip | 44123-1075
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Country | US
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Telephone | 216-288-6121
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DARLENE L MALLETT
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Credential | MSN, RN
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Telephone | 216-288-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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