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General NPI Number Information
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NPI Number | 1306726492
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Entity Type | Individual
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Provider Name | CHASE MCDANIEL DPT
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Gender | Male
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD SUITE #300
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City | CUMMING
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State | GA
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Zip | 30040
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Country | US
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Telephone | 770-886-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 3780 BROOKEFALL LNDG
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City | SUWANEE
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State | GA
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Zip | 30024-7028
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017873
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License Number State | GA
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