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General NPI Number Information
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NPI Number | 1578855367
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Entity Type | Individual
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Provider Name | MOLLY CHAPMAN CPNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 1 HOPE DR
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City | TUSTIN
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State | CA
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Zip | 92782-0221
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Country | US
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Telephone | 714-247-0300
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Fax | 714-259-0843
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Provider Business Mailing Address
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Address Line | 227 20TH ST SUITE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4343
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Country | US
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Telephone | 714-434-2587
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Fax | 714-434-1835
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN309596
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License Number State | CA
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