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General NPI Number Information
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NPI Number | 1164052437
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Entity Type | Individual
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Provider Name | GIANINA CHAPPELL
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Gender | Female
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 1282 SMITHFIELD PLZ
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City | SMITHFIELD
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State | VA
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Zip | 23430-6054
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Country | US
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Telephone | 757-357-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 KINGBROOK LN
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City | SMITHFIELD
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State | VA
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Zip | 23430-5450
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0202010735
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License Number State | VA
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