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General NPI Number Information
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NPI Number | 1336250778
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Entity Type | Organization
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Legal Business Name | S. CHAPA, M.D., INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 240 ALLEGHENY BLVD STE A
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City | BROOKVILLE
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State | PA
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Zip | 15825-2324
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Country | US
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Telephone | 814-849-5151
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Fax | 814-849-9624
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Provider Business Mailing Address
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Address Line | 240 ALLEGHENY BLVD STE A
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City | BROOKVILLE
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State | PA
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Zip | 15825-2324
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Country | US
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Telephone | 814-849-5151
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Fax | 814-849-9624
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUKUMAR M CHAPA
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Credential | M.D.
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Telephone | 814-849-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD038943L
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License Number State | PA
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