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General NPI Number Information
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NPI Number | 1548618747
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Entity Type | Individual
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Provider Name | KATHRYN ANNA CHAPPELL NP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2016
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2837 FORT MISSOULA RD
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City | MISSOULA
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State | MT
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Zip | 59804-7408
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Country | US
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Telephone | 63-273-9114
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Fax | 406-327-3919
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Provider Business Mailing Address
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Address Line | 265 S 4TH ST E APT 204
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City | MISSOULA
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State | MT
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Zip | 59801-1002
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Country | US
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Telephone | 406-459-9530
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 103201
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201907060
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License Number State | OR
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