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General NPI Number Information
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NPI Number | 1124497771
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Entity Type | Organization
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Legal Business Name | CHS PHYSICIAN PARTNERS, PC
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 2200 NORTHERN BLVD
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City | GREENVALE
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State | NY
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Zip | 11548-1219
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Country | US
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Telephone | 631-465-6225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000-6625
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City | PHILADELPHIA
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State | PA
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Zip | 19195-6625
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LORRAINE HUMMEL
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Credential |
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Telephone | 631-465-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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