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General NPI Number Information
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NPI Number | 1689832412
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Entity Type | Individual
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Provider Name | CRAIG D CHAPPELL DO
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Gender | Male
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1888 W 800 N
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City | PLEASANT GROVE
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State | UT
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Zip | 84062
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Country | US
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Telephone | 801-610-7321
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Fax | 801-610-7306
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Provider Business Mailing Address
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Address Line | 1888 W 800 N
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4097
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Country | US
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Telephone | 801-610-7321
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Fax | 801-610-7306
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9469694-1204
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 9469694-1204
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 9469694-1204
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License Number State | UT
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