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General NPI Number Information
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NPI Number | 1407835622
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT CHASE D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 111 NEW HAVEN AVE
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City | DERBY
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State | CT
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Zip | 06418-2197
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Country | US
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Telephone | 203-736-6356
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Fax |
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Provider Business Mailing Address
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Address Line | 111 NEW HAVEN AVE STE 8
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City | DERBY
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State | CT
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Zip | 06418-2197
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Country | US
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Telephone | 203-736-6356
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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 | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 38MC00522700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 001904
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License Number State | CT
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