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General NPI Number Information
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NPI Number | 1629030648
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Entity Type | Individual
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Provider Name | DEAN RANDALL CHASSAY MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 10/20/2011
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Provider Practice Location Address
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Address Line | 8000 AL HIGHWAY 69 MARSHALL MEDICAL CENTER NORTH
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-7140
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Country | US
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Telephone | 256-571-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1547
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City | SEDALIA
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State | MO
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Zip | 65302-1547
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Country | US
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Telephone | 660-826-5960
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Fax | 660-826-4852
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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 | 24930
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 24930
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License Number State | AL
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