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General NPI Number Information
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NPI Number | 1861579880
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Entity Type | Individual
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Provider Name | RICHARD CHALON AIKEN MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 440 S MARKET STREET
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City | SPRINGFIELD
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State | MO
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Zip | 65806
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Country | US
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Telephone | 417-865-5581
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Fax | 866-641-2093
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Provider Business Mailing Address
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Address Line | 2411 S EDGEWATER
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City | SPRINGFIELD
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State | MO
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Zip | 65804
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Country | US
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Telephone | 417-881-8889
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Fax | 866-641-2093
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD101693
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License Number State | MO
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