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General NPI Number Information
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NPI Number | 1114219474
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Entity Type | Organization
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Legal Business Name | CHIPRX LLC
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 8119 COURT AVE
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City | HAMLIN
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State | WV
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Zip | 25523-1402
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Country | US
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Telephone | 304-824-3784
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 671
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City | HAMLIN
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State | WV
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Zip | 25523-0671
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Country | US
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Telephone | 304-824-3787
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST/MEMBER
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Name | GEORGE CHAPMAN
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Credential |
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Telephone | 304-824-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | SP0552427
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License Number State | WV
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