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General NPI Number Information
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NPI Number | 1861355091
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Entity Type | Organization
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Legal Business Name | SURGICAL SUCCESS SPECIALISTS, PLLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 319 W COUNTY LINE RD STE 6
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City | HATBORO
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State | PA
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Zip | 19040-1605
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Country | US
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Telephone | 215-559-6923
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Fax | 215-559-6925
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Provider Business Mailing Address
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Address Line | 30 S 15TH ST STE 1550
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4806
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Country | US
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Telephone | 215-559-6923
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Fax | 215-559-6925
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Authorized Official
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Title or Position | SURGEON/CEO
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Name | DR. CANDICE CHIPMAN
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Credential | MD
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Telephone | 615-424-1484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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