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General NPI Number Information
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NPI Number | 1659735298
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Entity Type | Individual
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Provider Name | CHASE ESCOTT
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Gender | Male
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Dates
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Enumeration Date | 04/10/2016
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 4588 CAROTHERS PKWY
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City | FRANKLIN
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State | TN
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Zip | 37067-6577
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Country | US
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Telephone | 615-716-4747
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Fax | 615-716-4085
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Provider Business Mailing Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 62939
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License Number State | TN
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