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General NPI Number Information
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NPI Number | 1235022708
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Entity Type | Individual
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Provider Name | MICHELLE CHESSOCK PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 411 W RANDOLPH RD
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City | HOPEWELL
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State | VA
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Zip | 23860-2938
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Country | US
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Telephone | 805-541-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S ARTHUR ASHE BLVD APT 6
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City | RICHMOND
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State | VA
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Zip | 23220-5764
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Country | US
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Telephone | 610-908-7185
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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