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General NPI Number Information
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NPI Number | 1225449580
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Entity Type | Organization
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Legal Business Name | PATRICK PIRKLE & JOSHUA CHAPMAN, DMD, PA
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 621 SEBASTIAN BLVD SUITE A
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City | SEBASTIAN
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State | FL
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Zip | 32958-4309
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Country | US
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Telephone | 772-388-0088
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Fax | 772-388-0071
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Provider Business Mailing Address
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Address Line | 621 SEBASTIAN BLVD SUITE A
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City | SEBASTIAN
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State | FL
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Zip | 32958-4309
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Country | US
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Telephone | 772-388-0088
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Fax | 772-388-0071
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Authorized Official
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Title or Position | MGMR
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Name | DR. JOSHUA VANN CHAPMAN
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Credential | DMD
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Telephone | 772-388-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN16421
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN16681
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License Number State | FL
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