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General NPI Number Information
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NPI Number | 1962697789
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Entity Type | Individual
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Provider Name | STEVEN THOMAS CHIPMAN P.T.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 6286 BRIARCREST AVE STE 110
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City | MEMPHIS
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State | TN
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Zip | 38120-4023
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Country | US
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Telephone | 901-641-3000
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Fax | 901-259-1698
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Provider Business Mailing Address
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Address Line | 6077 PRIMACY PKWY STE 140
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City | MEMPHIS
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State | TN
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Zip | 38119-5742
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Country | US
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Telephone | 901-725-8347
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Fax | 901-259-7637
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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 | 7764
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License Number State | TN
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