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General NPI Number Information
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NPI Number | 1760158968
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Entity Type | Individual
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Provider Name | CARTER LYLE CHAPMAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 21630 RIDGETOP CIR STE 100
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City | STERLING
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State | VA
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Zip | 20166-6564
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Country | US
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Telephone | 888-818-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N FAYETTE ST APT 224
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2290
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202217975
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License Number State | VA
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