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General NPI Number Information
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NPI Number | 1992372445
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Entity Type | Individual
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Provider Name | KEVIN P CHASE DO
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Gender | Male
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1193 NORTON AVE STE A
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City | NORTON
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State | OH
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Zip | 44203-9526
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Country | US
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Telephone | 330-825-1152
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Fax | 740-689-6759
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Provider Business Mailing Address
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Address Line | 1193 NORTON AVE STE A
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City | NORTON
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State | OH
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Zip | 44203-9526
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Country | US
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Telephone | 330-825-0847
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Fax | 330-825-9569
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.017392
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License Number State | OH
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