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General NPI Number Information
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NPI Number | 1912292780
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Entity Type | Individual
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Provider Name | CHRIS CIASCHINI CMC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 401 S. GARY AVE SUITE 1
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City | ROSELLE
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State | IL
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Zip | 60172
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Country | US
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Telephone | 630-957-5140
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Fax |
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Provider Business Mailing Address
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Address Line | 17027 ELLINGTON WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78247
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Country | US
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Telephone | 210-364-7045
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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