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Individual
WENDY CHASE
Active
Individual
WENDY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026510102
UNIVERA
—
01
—
000570040003
BCBSWNY
NY
05
—
01467761
—
NY
01
—
9511783
INDEPENDENT HEALTH
NY
Enumeration date
03/16/2006
Last updated
07/27/2007
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