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General NPI Number Information
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NPI Number | 1508112996
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Entity Type | Individual
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Provider Name | AMY LYNN CHASE F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/03/2012
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1540 SPRING VALLEY DRIVE HERSHEL 'WOODY' WILLIAMS VA ME
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City | HUNTINGTON
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State | WV
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Zip | 25704
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Country | US
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Telephone | 304-429-6741
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Fax | 304-525-2748
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Provider Business Mailing Address
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Address Line | 1540 SPRING VALLEY DRIVE HERSHEL 'WOODY' WILLIAMS VA ME
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City | HUNTINGTON
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State | WV
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Zip | 25704
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Country | US
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Telephone | 304-429-6741
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Fax | 304-399-2526
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 59953
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License Number State | WV
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