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General NPI Number Information
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NPI Number | 1235342742
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Entity Type | Individual
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Provider Name | DOUGLAS W CHASE P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 3307 GRAND AVE #203
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City | BILLINGS
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State | MT
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Zip | 59102-6546
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Country | US
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Telephone | 406-655-9080
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Fax | 406-655-9065
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Provider Business Mailing Address
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Address Line | 3307 GRAND AVE #203
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City | BILLINGS
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State | MT
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Zip | 59102-6546
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Country | US
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Telephone | 406-655-9080
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Fax | 406-655-9065
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1291
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License Number State | MT
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