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General NPI Number Information
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NPI Number | 1225060163
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Entity Type | Individual
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Provider Name | PATRICIA A. CHASE PH.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 807 UNIVERSITY PKWY LAMB HALL ROOM 361
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City | JOHNSON CITY
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State | TN
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Zip | 37614-6500
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Country | US
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Telephone | 423-439-4584
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Fax | 423-439-4607
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Provider Business Mailing Address
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Address Line | PO BOX 70403 807 UNIVERSITY PKWY
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City | JOHNSON CITY
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State | TN
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Zip | 37614-1703
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Country | US
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Telephone | 423-439-4071
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Fax | 423-439-4060
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 0000001255
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License Number State | TN
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