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General NPI Number Information
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NPI Number | 1710179510
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Entity Type | Organization
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Legal Business Name | JILL D CHAPMAN CHIROPRACTIC APC
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 410 S SANTA FE AVE STE 201
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City | VISTA
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State | CA
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Zip | 92084-6163
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Country | US
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Telephone | 760-726-4275
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Fax | 760-726-4278
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Provider Business Mailing Address
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Address Line | 410 S SANTA FE AVE STE 201
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City | VISTA
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State | CA
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Zip | 92084-6163
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Country | US
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Telephone | 760-726-4275
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Fax | 760-726-4278
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JILL DEANNE CHAPMAN
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Credential | D.C.
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Telephone | 760-726-4275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27399
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License Number State | CA
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