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General NPI Number Information
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NPI Number | 1659708113
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Entity Type | Organization
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Legal Business Name | CHASE LAY MD & ASSOCIATES INC
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 2550 SAMARITAN DR STE F
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City | SAN JOSE
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State | CA
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Zip | 95124-4104
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Country | US
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Telephone | 408-358-3888
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Fax | 408-358-3150
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Provider Business Mailing Address
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Address Line | 2550 SAMARITAN DR STE F
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City | SAN JOSE
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State | CA
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Zip | 95124-4104
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Country | US
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Telephone | 408-358-3888
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Fax | 408-358-3150
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK CHASE LAY
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Credential | M.D.
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Telephone | 408-358-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | A112118
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License Number State | CA
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