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General NPI Number Information
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NPI Number | 1841488582
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Entity Type | Organization
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Legal Business Name | CHAD D. EZZELL, M.D., PA
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 1850 HICKORY ST STE 101
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City | ABILENE
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State | TX
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Zip | 79601-2334
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Country | US
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Telephone | 325-670-5740
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Fax | 325-670-5744
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Provider Business Mailing Address
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Address Line | 1850 HICKORY ST STE 101
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City | ABILENE
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State | TX
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Zip | 79601-2334
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Country | US
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Telephone | 325-670-5740
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Fax | 325-670-5744
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CHAD D EZZELL
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Credential | M.D.
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Telephone | 325-670-5740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | L4928
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License Number State | TX
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