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General NPI Number Information
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NPI Number | 1912120981
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Entity Type | Individual
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Provider Name | JAMES RUDOLPH CHAPKO DDS
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 140 N STATE ST
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City | BELVIDERE
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State | IL
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Zip | 61008-3518
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Country | US
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Telephone | 815-544-5144
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Fax | 815-544-5161
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Provider Business Mailing Address
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Address Line | P.O. BOX 678
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City | BELVIDERE
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State | IL
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Zip | 61008
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Country | US
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Telephone | 815-544-5144
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Fax | 815-544-5161
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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