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NPI 1124776497

NPI 1124776497 : EMILY DINNEEN CHAPPELL RPHD : BRINKLEY, AR

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General NPI Number Information
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    NPI Number           |    1124776497
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY DINNEEN CHAPPELL RPHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/15/2022
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    Last Update Date     |    01/11/2023
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Provider Practice Location Address
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    Address Line         |    615 N MAIN ST 
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    City                 |    BRINKLEY
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    State                |    AR
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    Zip                  |    72021-2507
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    Country              |    US
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    Telephone            |    870-194-1100
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    Fax                  |    870-734-1113
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Provider Business Mailing Address
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    Address Line         |    PO BOX 497 
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    City                 |    AUGUSTA
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    State                |    AR
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    Zip                  |    72006-0497
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    Country              |    US
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    Telephone            |    870-347-2534
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    Fax                  |    870-347-1235
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    PD15782
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    License Number State |    AR
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