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General NPI Number Information
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NPI Number | 1255844940
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Entity Type | Organization
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Legal Business Name | CHAPMAN CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 214 E MAIN ST
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City | WATERVILLE
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State | NY
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Zip | 13480-1110
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Country | US
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Telephone | 315-882-7387
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Fax |
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Provider Business Mailing Address
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Address Line | 214 E MAIN ST
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City | WATERVILLE
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State | NY
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Zip | 13480-1110
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Country | US
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Telephone | 315-882-7387
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Fax |
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Authorized Official
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Title or Position | DOCTOR/BUSINESS OWNER
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Name | DR. WAYNE ROBERT CHAPMAN
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Credential |
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Telephone | 315-882-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012943
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License Number State | NY
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