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General NPI Number Information
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NPI Number | 1750914073
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Entity Type | Organization
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Legal Business Name | D M CHAPMAN MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 02/14/2020
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 2525 CAMINO DEL RIO S # S107
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City | SAN DIEGO
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State | CA
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Zip | 92108-3717
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Country | US
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Telephone | 619-908-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 5694 MISSION CENTER RD # S602U135
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City | SAN DIEGO
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State | CA
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Zip | 92108-4355
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Country | US
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Telephone | 619-908-9908
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DONNA M CHAPMAN
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Credential | LMFT
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Telephone | 619-908-9908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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