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General NPI Number Information
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NPI Number | 1811906365
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Entity Type | Individual
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Provider Name | PHILLIP BRANCH CHAPPELL MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 230 SOUTH FRONTAGE ROAD YALE UNIVERSITY CHILD STUDY CENTER
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City | NEW HAVEN
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State | CT
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Zip | 06520-7900
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Country | US
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Telephone | 203-785-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 153 ELM ST
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City | GUILFORD
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State | CT
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Zip | 06437
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Country | US
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Telephone | 203-457-9049
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Fax | 860-715-7527
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CT028100
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License Number State | CT
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