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General NPI Number Information
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NPI Number | 1861653776
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Entity Type | Organization
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Legal Business Name | CAROL W. CHAPPELL, M.D.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 5 SAINT VINCENT CIR SUITE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5412
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Country | US
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Telephone | 501-661-1123
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Fax | 501-661-0046
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Provider Business Mailing Address
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Address Line | 5 SAINT VINCENT CIR SUITE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5412
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Country | US
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Telephone | 501-661-1123
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Fax | 501-661-0046
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | FLORA JEANNE COLGLAZIER
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Credential |
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Telephone | 501-661-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C4804
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License Number State | AR
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