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General NPI Number Information
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NPI Number | 1114625241
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Entity Type | Individual
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Provider Name | SCOTT CHAPMAN LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/17/2023
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 1925 ASPEN DR STE 101A
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City | SANTA FE
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State | NM
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Zip | 87505-5579
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Country | US
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Telephone | 505-424-3119
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Fax |
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Provider Business Mailing Address
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Address Line | 86 OLD GALISTEO WAY
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City | SANTA FE
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State | NM
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Zip | 87508-9477
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Country | US
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Telephone | 505-639-9717
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CTB-2003-0026
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License Number State | NM
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