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General NPI Number Information
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NPI Number | 1023434669
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Entity Type | Organization
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Legal Business Name | CHARLES E CHAPLEAU M D NEUROSURGERY PLLC
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 1717 N E ST STE 422
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City | PENSACOLA
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State | FL
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Zip | 32501-6339
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Country | US
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Telephone | 850-444-7050
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Fax | 850-434-8879
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Provider Business Mailing Address
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Address Line | 1717 N E ST STE 422
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City | PENSACOLA
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State | FL
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Zip | 32501-6339
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Country | US
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Telephone | 850-444-7050
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Fax | 850-434-8879
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES E CHAPLEAU
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Credential | MD
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Telephone | 850-444-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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