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General NPI Number Information
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NPI Number | 1821366741
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Entity Type | Individual
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Provider Name | TERRY LYNN CHAPMAN MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 207 FAIRMONT AVE SUITE 2
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City | FAIRMONT
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State | WV
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Zip | 26554-2859
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Country | US
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Telephone | 304-363-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 MORNINGSTAR LN
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City | FAIRMONT
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State | WV
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Zip | 26554-1413
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Country | US
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Telephone | 304-657-0007
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BP00943687
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License Number State | WV
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