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General NPI Number Information
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NPI Number | 1811256530
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Entity Type | Individual
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Provider Name | ELIZABETH PIAZZA CHASE M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 09/28/2024
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Provider Practice Location Address
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Address Line | 2470 ROCKY RIDGE RD STE 100
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City | VESTAVIA
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State | AL
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Zip | 35243-2861
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Country | US
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Telephone | 205-978-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 ROCKY RIDGE RD STE 100
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City | VESTAVIA
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State | AL
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Zip | 35243-2861
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Country | US
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Telephone | 205-978-3336
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD458296
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD.44262
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | S1784
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | MD.44262
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | MD.44262
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License Number State | AL
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