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General NPI Number Information
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NPI Number | 1922991025
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Entity Type | Individual
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Provider Name | JACKSON CHAPPELL PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 18303 I-35W
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City | NORTHLAKE
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State | TX
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Zip | 76262
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Country | US
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Telephone | 940-294-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 760 WESTERN TRL
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City | KELLER
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State | TX
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Zip | 76248-4916
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Country | US
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Telephone | 817-875-7015
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1406741
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License Number State | TX
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