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NPI 1629551130

NPI 1629551130 : DANIELLE RENE' CHAPPELL : ARGYLE, TX

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General NPI Number Information
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    NPI Number           |    1629551130
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELLE RENE' CHAPPELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/11/2018
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    Last Update Date     |    09/11/2018
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Provider Practice Location Address
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    Address Line         |    415 HIGHWAY 377 S STE 200 
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    City                 |    ARGYLE
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    State                |    TX
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    Zip                  |    76226-5140
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    Country              |    US
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    Telephone            |    940-464-7010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17185 S 125TH ST E 
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    City                 |    WEBBERS FALLS
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    State                |    OK
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    Zip                  |    74470-3208
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    2216
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    License Number State |    
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