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General NPI Number Information
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NPI Number | 1821544230
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Entity Type | Individual
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Provider Name | ALAIN ANTHONY CHAMOUN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2016
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1952 N WILLIAMSON BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5261
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Country | US
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Telephone | 903-342-8251
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ARENA LAKE DR
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City | PALM COAST
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State | FL
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Zip | 32137-6914
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | UO4856
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License Number State | FL
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