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General NPI Number Information
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NPI Number | 1306942669
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Entity Type | Individual
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Provider Name | THOMAS GORDON CHAYKA MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 50 OLD POST ROAD
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City | YORK
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State | ME
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Zip | 03909-5812
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Country | US
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Telephone | 207-363-5321
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Fax | 207-363-7857
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Provider Business Mailing Address
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Address Line | 50 OLD POST ROAD
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City | YORK
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State | ME
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Zip | 03909-5812
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Country | US
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Telephone | 207-363-5321
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Fax | 207-363-7857
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 007875
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 7683
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License Number State | AZ
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