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General NPI Number Information
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NPI Number | 1982181608
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Entity Type | Organization
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Legal Business Name | CHI ARTHRITIS & RHEUMATOLOGY ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 6 SHACKLEFORD DR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2858
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Country | US
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Telephone | 501-500-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 6 SHACKLEFORD DR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2858
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Country | US
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Telephone | 501-500-5001
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | JASEN C. CHI
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Credential | MD
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Telephone | 501-500-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | E-3762
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License Number State | AR
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