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General NPI Number Information
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NPI Number | 1679875231
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY HEALTHCARE, PLLC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 1722 N GREEN ST
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City | MORGANTON
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State | NC
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Zip | 28655-9013
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Country | US
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Telephone | 828-391-8364
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Fax | 828-391-1972
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Provider Business Mailing Address
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Address Line | PO BOX 3757
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City | MORGANTON
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State | NC
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Zip | 28680-3757
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Country | US
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Telephone | 828-391-8364
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Fax | 828-391-1972
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MR. TRACY DONALD CHAPMAN
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Credential | NP
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Telephone | 828-391-8364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 201703
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201703
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License Number State | NC
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