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General NPI Number Information
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NPI Number | 1194507632
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Entity Type | Organization
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Legal Business Name | KEITH T. CHUMLEY ADVISORS, M.D., PC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 23600 TELO AVE STE 280
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City | TORRANCE
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State | CA
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Zip | 90505-4037
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Country | US
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Telephone | 424-250-9979
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Fax | 424-250-9981
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Provider Business Mailing Address
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Address Line | 23600 TELO AVE STE 280
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City | TORRANCE
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State | CA
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Zip | 90505-4037
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Country | US
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Telephone | 424-250-9979
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Fax | 424-250-9981
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEITH T CHUMLEY
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Credential | MD
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Telephone | 424-250-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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