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General NPI Number Information
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NPI Number | 1427126572
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Entity Type | Organization
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Legal Business Name | BRADLEY H CHESLER M D A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 1955 CITRACADO PKWY STE 203
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City | ESCONDIDO
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State | CA
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Zip | 92029-4112
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Country | US
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Telephone | 760-738-5533
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Fax | 760-738-3835
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Provider Business Mailing Address
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Address Line | 1955 CITRACADO PKWY STE 203
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City | ESCONDIDO
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State | CA
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Zip | 92029-4112
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Country | US
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Telephone | 760-738-5533
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Fax | 760-738-3835
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRADLEY HOWARD CHESLER
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Credential | M.D.
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Telephone | 858-673-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A43963
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License Number State | CA
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