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General NPI Number Information
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NPI Number | 1467415620
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Entity Type | Individual
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Provider Name | RALPH L CHESTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 463 S LAKE POWELL BLVD
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City | PAGE
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State | AZ
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Zip | 86040-0856
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Country | US
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Telephone | 928-645-5113
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Fax |
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Provider Business Mailing Address
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Address Line | 1932 ARLINGTON BLVD STE 121
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-1560
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Country | US
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Telephone | 434-956-9175
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 67784
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 088
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 67784
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101238996
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License Number State | VA
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