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General NPI Number Information
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NPI Number | 1942974811
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Entity Type | Individual
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Provider Name | TRACY LEIGH CHAPMAN STUART LPC-QMHP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 601 4TH ST STE 112
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City | BROOKINGS
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State | SD
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Zip | 57006-2065
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Country | US
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Telephone | 605-223-0192
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Fax | 605-271-5542
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Provider Business Mailing Address
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Address Line | 805 E 34TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57105-5031
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Country | US
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Telephone | 715-271-1419
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | QMHP
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC20362
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License Number State | SD
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