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General NPI Number Information
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NPI Number | 1710325964
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Entity Type | Individual
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Provider Name | JAY CHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-273-8610
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-6516
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Country | US
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Telephone | 352-351-7200
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | LL35739
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME135536
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 104158
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 135536
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License Number State | FL
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