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General NPI Number Information
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NPI Number | 1225169287
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Entity Type | Individual
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Provider Name | ELIZABETH ANN CHAPE PT, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 3835 FREEPORT BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95822-1318
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Country | US
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Telephone | 916-558-2298
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 FREEPORT BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95822-1318
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Country | US
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Telephone | 916-558-2298
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8033
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00002227
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License Number State | WA
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