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General NPI Number Information
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NPI Number | 1164687901
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Entity Type | Organization
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Legal Business Name | JACQUES CHAHIN, M. D., INC.
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 2700 GRANT ST STE 311
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City | CONCORD
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State | CA
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Zip | 94520-2268
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Country | US
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Telephone | 925-689-4343
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Fax | 925-689-0114
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Provider Business Mailing Address
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Address Line | 2700 GRANT ST., STE. 311
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 925-689-4343
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Fax | 925-689-0114
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JACQUES CHAHIN
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Credential | M.D.
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Telephone | 925-689-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A-23509
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License Number State | CA
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