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NPI 1609517382

NPI 1609517382 : ELIZABETH XUMEI CHANEY DO : PORT ORCHARD, WA

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General NPI Number Information
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    NPI Number           |    1609517382
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH XUMEI CHANEY DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/05/2022
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    450 S KITSAP BLVD STE 250 
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    City                 |    PORT ORCHARD
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    State                |    WA
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    Zip                  |    98366-3739
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    Country              |    US
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    Telephone            |    360-782-3000
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    Fax                  |    360-782-3040
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Provider Business Mailing Address
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    Address Line         |    9621 RIDGETOP BLVD NW 
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    City                 |    SILVERDALE
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    State                |    WA
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    Zip                  |    98383-8502
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    Country              |    US
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    Telephone            |    
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    OP70007526
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    License Number State |    WA
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