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General NPI Number Information
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NPI Number | 1386778371
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Entity Type | Organization
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Legal Business Name | DRS CHACE, HORVAT & COHEN, P.L.C.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 801 W MORSE BLVD
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City | WINTER PARK
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State | FL
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Zip | 32789-3708
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Country | US
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Telephone | 407-644-4404
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Fax | 407-628-3910
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Provider Business Mailing Address
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Address Line | 801 W MORSE BLVD
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City | WINTER PARK
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State | FL
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Zip | 32789-3708
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Country | US
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Telephone | 407-644-4404
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Fax | 407-628-3910
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD CHACE JR.
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Credential | DMD
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Telephone | 407-644-4404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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