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General NPI Number Information
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NPI Number | 1215117585
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Entity Type | Organization
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Legal Business Name | DAVID S. CHESS, P.A.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 2305 S RIDGEWOOD AVE UNIT D
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City | EDGEWATER
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State | FL
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Zip | 32141-4227
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Country | US
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Telephone | 386-423-3100
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Fax | 386-423-3102
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Provider Business Mailing Address
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Address Line | 930 S RIDGEWOOD AVE
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City | EDGEWATER
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State | FL
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Zip | 32132-2331
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Country | US
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Telephone | 386-423-3100
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Fax | 386-423-3102
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID CHESS
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Credential |
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Telephone | 386-423-3100
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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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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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