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General NPI Number Information
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NPI Number | 1619069853
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Entity Type | Individual
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Provider Name | ERIC PHILIPPE CHASSIN M.D
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 1806 S HIGHLAND AVE SUITE 200
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City | LOMBARD
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State | IL
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Zip | 60148-4938
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Country | US
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Telephone | 630-442-9572
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Fax | 630-953-4281
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Provider Business Mailing Address
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Address Line | 1806 S HIGHLAND AVE SUITE 200
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City | LOMBARD
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State | IL
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Zip | 60148-4938
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Country | US
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Telephone | 630-442-9572
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Fax | 630-953-4281
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036095735
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License Number State | IL
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