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General NPI Number Information
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NPI Number | 1538429048
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Entity Type | Individual
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Provider Name | CHASE CONTINO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 1015 CHESTNUT ST STE 512
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4305
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Country | US
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Telephone | 267-479-4180
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Fax | 215-873-0201
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Provider Business Mailing Address
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Address Line | 245 N 15TH ST MS 470
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1101
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Country | US
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Telephone | 215-762-1902
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD456320
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA10909700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 25MA10909700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | RES-000
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License Number State | PA
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