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General NPI Number Information
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NPI Number | 1033184262
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Entity Type | Individual
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Provider Name | VICKIE SUE CHAPMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 249 E COLLINS ST
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City | UMATILLA
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State | FL
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Zip | 32784-8383
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Country | US
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Telephone | 352-589-6424
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Fax | 352-589-6496
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Provider Business Mailing Address
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Address Line | PO BOX 1305
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City | TAVARES
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State | FL
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Zip | 32778-1305
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Country | US
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Telephone | 352-589-6424
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Fax | 352-589-6496
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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 | ARNP9334536
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License Number State | FL
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