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General NPI Number Information
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NPI Number | 1265937296
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Entity Type | Organization
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Legal Business Name | RACHEL CHAPPLE PSYCHOLOGICAL SERVICES INC.
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Dates
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Enumeration Date | 03/30/2018
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 401 GRAND AVE STE 380
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City | OAKLAND
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State | CA
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Zip | 94610-5054
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Country | US
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Telephone | 310-435-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 401 GRAND AVE STE 380
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City | OAKLAND
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State | CA
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Zip | 94610-5054
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Country | US
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Telephone | 310-435-2458
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. RACHEL V CHAPPLE
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Credential | PH.D.
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Telephone | 310-435-2458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PSY27143
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | PSY27143
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License Number State | CA
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