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General NPI Number Information
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NPI Number | 1649098252
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Entity Type | Individual
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Provider Name | ALEXA CHAPMAN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD FL 15
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-662-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 227 SORREL DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-4081
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Country | US
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Telephone | 732-740-2322
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00883400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA065963
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License Number State | PA
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