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General NPI Number Information
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NPI Number | 1174933022
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Entity Type | Individual
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Provider Name | CLELLAND JAMES-HENRY CHATMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 12303 DE PAUL DR
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City | BRIDGETON
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State | MO
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Zip | 63044
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Country | US
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Telephone | 314-770-9393
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Fax | 314-770-9997
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Provider Business Mailing Address
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Address Line | 12255 DE PAUL DR STE 737
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City | BRIDGETON
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State | MO
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Zip | 63044-2530
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Country | US
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Telephone | 314-770-9393
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Fax | 314-770-9997
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036158981
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2019030490
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License Number State | MO
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