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General NPI Number Information
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NPI Number | 1255684023
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Entity Type | Organization
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Legal Business Name | NORMAN CHAZIN MD LLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 199 NEW RD STE 61A
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City | LINWOOD
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State | NJ
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Zip | 08221-2029
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Country | US
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Telephone | 609-926-7001
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Fax | 609-926-7004
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Provider Business Mailing Address
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Address Line | 199 NEW RD STE 61A
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City | LINWOOD
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State | NJ
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Zip | 08221-2029
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Country | US
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Telephone | 609-926-7001
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Fax | 609-926-7004
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Authorized Official
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Title or Position | OWNER
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Name | NORMAN CHAZIN
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Credential | MD
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Telephone | 609-705-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 25MA04602100
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License Number State | NJ
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