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General NPI Number Information
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NPI Number | 1205008711
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Entity Type | Organization
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Legal Business Name | MELISSA A. CHAPMAN, D.O.
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 102 RESERVATION AVE
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City | BECKLEY
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State | WV
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Zip | 25801-2820
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Country | US
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Telephone | 304-929-7677
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Fax | 304-929-6067
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Provider Business Mailing Address
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Address Line | PO BOX 972
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City | BECKLEY
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State | WV
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Zip | 25802-0972
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Country | US
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Telephone | 304-929-7677
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Fax | 304-929-6067
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA ANN CHAPMAN
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Credential | D.O.
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Telephone | 304-929-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1811
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License Number State | WV
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