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General NPI Number Information
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NPI Number | 1477434355
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Entity Type | Organization
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Legal Business Name | CHIME HEALTH CORPORATION
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2176 PEARL WALK
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City | GARDENA
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State | CA
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Zip | 90249-1795
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Country | US
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Telephone | 213-907-8303
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Fax | 213-684-5843
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Provider Business Mailing Address
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Address Line | 701 W REDONDO BEACH BLVD
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City | GARDENA
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State | CA
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Zip | 90247-4203
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Country | US
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Telephone | 213-907-8303
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Fax | 213-684-5843
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Authorized Official
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Title or Position | BILLING COMPANY
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Name | REVMAX TECHNOLOGIES
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Credential |
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Telephone | 720-784-9413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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