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General NPI Number Information
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NPI Number | 1588585921
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Entity Type | Organization
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Legal Business Name | CHAPPEL GROUP 2 LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1415 W OAK ST UNIT 421407
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City | KISSIMMEE
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State | FL
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Zip | 34742-7058
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Country | US
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Telephone | 813-997-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 W OAK ST UNIT 421407
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City | KISSIMMEE
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State | FL
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Zip | 34742-7058
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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 | ADMINISTRATOR
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Name | BRIAN CLUKIE
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Credential |
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Telephone | 813-997-2099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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