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General NPI Number Information
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NPI Number | 1316445737
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Entity Type | Organization
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Legal Business Name | DARRYL A. CHAPMAN, SR. DMD
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 706 E 16TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-1512
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Country | US
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Telephone | 229-273-7800
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Fax | 229-273-2002
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Provider Business Mailing Address
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Address Line | 706 E 16TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-1512
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Country | US
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Telephone | 229-273-7800
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Fax | 229-273-2002
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Authorized Official
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Title or Position | DENTIST
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Name | DARRYL CHAPMAN
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Credential |
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Telephone | 229-273-7800
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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 | DN010011
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License Number State | GA
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