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General NPI Number Information
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NPI Number | 1588851273
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Entity Type | Individual
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Provider Name | RALPH V. CHASE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 2500 ALHAMBRA AVE
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City | MARTINEZ
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State | CA
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Zip | 94553-3156
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Country | US
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Telephone | 510-282-6004
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13185
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City | OAKLAND
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State | CA
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Zip | 94661-0185
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Country | US
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Telephone | 510-282-6004
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A100483
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License Number State | CA
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