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NPI 1790662005

NPI 1790662005 : LISA L CHAPMAN MS, CADC : DES MOINES, IA

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General NPI Number Information
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    NPI Number           |    1790662005
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    Entity Type          |    Individual 
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    Provider Name        |    LISA L CHAPMAN MS, CADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    3806 EASTON BLVD 
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    City                 |    DES MOINES
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    State                |    IA
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    Zip                  |    50317-5730
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    Country              |    US
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    Telephone            |    515-661-5885
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    Fax                  |    844-754-3428
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Provider Business Mailing Address
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    Address Line         |    1208 OFFICE PARK RD APT 22 
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    City                 |    WEST DES MOINES
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    State                |    IA
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    Zip                  |    50265-2453
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    Country              |    US
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    Telephone            |    515-577-3687
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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