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General NPI Number Information
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NPI Number | 1164085999
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Entity Type | Individual
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Provider Name | RODY GEORGES BOU CHAAYA MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 840 DUNLAWTON AVE STE A
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City | PORT ORANGE
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State | FL
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Zip | 32127-4224
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Country | US
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Telephone | 734-718-8216
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Fax |
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Provider Business Mailing Address
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Address Line | 645 DIVISION ST APT 1809
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City | NASHVILLE
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State | TN
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Zip | 37203-6415
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Country | US
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Telephone | 734-718-8216
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | U4471
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License Number State | TX
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