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General NPI Number Information
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NPI Number | 1124074596
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PLASTIC AND RECONSTRUCTIVE SURGERY, PC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 3404 NAVAJO DR
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5079
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Country | US
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Telephone | 423-624-0021
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Fax | 423-624-5258
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Provider Business Mailing Address
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Address Line | 3404 NAVAJO DR
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5079
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Country | US
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Telephone | 423-624-0021
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Fax | 423-624-5258
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER CHASE
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Credential | MD
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Telephone | 423-624-0021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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