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General NPI Number Information
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NPI Number | 1689553844
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Entity Type | Organization
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Legal Business Name | CHASE ELITE WELLNESS & CONCIERGE
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 4539 N 22ND ST STE 5206
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 602-737-0818
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Fax | 877-471-3046
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST STE 5206
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 602-737-0818
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Fax | 877-471-3046
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Authorized Official
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Title or Position | OWNER/FNP-BC
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Name | KRISTEN MARIE CHASE
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Credential | FNP-BC
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Telephone | 480-818-3759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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