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General NPI Number Information
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NPI Number | 1528142049
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Entity Type | Organization
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Legal Business Name | THOMAS A CHAPMAN DMD PC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 101 N KINDERKAMACK RD
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City | MONTVALE
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State | NJ
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Zip | 07645-1312
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Country | US
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Telephone | 201-307-3323
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Fax | 201-307-1907
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Provider Business Mailing Address
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Address Line | 101 N KINDERKAMACK RD
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City | MONTVALE
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State | NJ
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Zip | 07645-1312
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Country | US
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Telephone | 201-307-3323
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Fax | 201-307-1907
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | THOMAS A CHAPMAN
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Credential | DMD
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Telephone | 201-307-3323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI021131
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License Number State | NJ
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