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General NPI Number Information
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NPI Number | 1740339993
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Entity Type | Organization
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Legal Business Name | GERALD CHASEN DDS
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 13975 CONNECTICUT AVE #203
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City | SILVER SPRING
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State | MD
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Zip | 20906
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Country | US
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Telephone | 301-871-6175
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Fax | 301-871-0049
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Provider Business Mailing Address
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Address Line | 13975 CONNECTICUT AVE #203
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City | SILVER SPRING
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State | MD
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Zip | 20906
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Country | US
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Telephone | 301-871-6175
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Fax | 301-871-0049
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. GERALD CHASEN
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Credential | DDS
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Telephone | 301-871-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3586
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License Number State | MD
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