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General NPI Number Information
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NPI Number | 1275338576
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Entity Type | Organization
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Legal Business Name | CHAPMAN FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 505 N CUTHBERT ST
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City | COLQUITT
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State | GA
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Zip | 39837-3511
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Country | US
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Telephone | 229-600-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 403 N CUTHBERT ST
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City | COLQUITT
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State | GA
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Zip | 39837-3524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COURTNEY CHAPMAN
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Credential | DDS
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Telephone | 229-400-0714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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