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General NPI Number Information
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NPI Number | 1366428740
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Entity Type | Individual
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Provider Name | ALEXANDER WALTER CHASNIS MD
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 10315 HAMPTONS PARK DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7217
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Country | US
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Telephone | 704-323-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 PARK RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28209-3239
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Country | US
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Telephone | 704-323-2237
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 2003-00453
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License Number State | NC
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