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General NPI Number Information
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NPI Number | 1548085616
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Entity Type | Individual
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Provider Name | CHASIDY JONES CPT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2313 LEE RD STE 337
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-3427
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Country | US
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Telephone | 216-243-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 679 E 127TH ST
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City | CLEVELAND
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State | OH
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Zip | 44108-2441
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Country | US
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Telephone | 216-399-6910
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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 | 207ZH0000X
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Taxonomy Name | Hematology (Pathology) Physician
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License Number | 14-03-2041T
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License Number State | OH
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