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General NPI Number Information
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NPI Number | 1043344583
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Entity Type | Organization
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Legal Business Name | A. BRADLEY CHAPMAN MD AND FRANK E. MICHENER MD LTD.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2059 HUNTINGTON AVE SUITE 108
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City | ALEXANDRIA
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State | VA
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Zip | 22303-1636
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Country | US
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Telephone | 703-960-4901
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Fax | 703-960-4952
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Provider Business Mailing Address
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Address Line | 2059 HUNTINGTON AVE SUITE 108
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City | ALEXANDRIA
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State | VA
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Zip | 22303-1636
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Country | US
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Telephone | 703-960-4901
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Fax | 703-960-4952
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Authorized Official
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Title or Position | TREASURER
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Name | FRANK E MICHENER
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Credential | M.D
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Telephone | 703-960-4901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101021474
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101024043
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License Number State | VA
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