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General NPI Number Information
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NPI Number | 1588452643
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Entity Type | Individual
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Provider Name | JACQUELINE CHAPMAN
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 320 ELTON HILLS DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-2476
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Country | US
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Telephone | 507-722-1508
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 68TH ST SE
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City | ROCHESTER
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State | MN
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Zip | 55904-6903
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Country | US
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Telephone |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 14409182
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License Number State | MN
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