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General NPI Number Information
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NPI Number | 1548400815
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Entity Type | Individual
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Provider Name | MR. DUANE L CHAPPUIES
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Gender | Male
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 2424 N MAIN ST
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City | CENTRAL LAKE
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State | MI
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Zip | 49622-9271
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Country | US
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Telephone | 231-544-2929
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Fax | 231-544-5408
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Provider Business Mailing Address
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Address Line | 1681 W OLD STATE RD P.O. BOX 359
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City | EAST JORDAN
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State | MI
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Zip | 49727-8860
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Country | US
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Telephone | 231-536-7657
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Fax | 231-544-5408
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302022452
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License Number State | MI
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