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General NPI Number Information
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NPI Number | 1538339577
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Entity Type | Organization
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Legal Business Name | CHASET, PC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 501 STREET RD
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-3746
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Country | US
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Telephone | 215-322-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 501 STREET RD
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-3746
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Country | US
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Telephone | 215-322-6060
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | HERBERT SECOULER
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Credential | DO
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Telephone | 215-322-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS003453L
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License Number State | PA
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