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General NPI Number Information
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NPI Number | 1982161196
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Entity Type | Individual
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Provider Name | ALLIE JONES CHAPPELL CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 1001 JOHNSON FERRY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 470-565-5131
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Fax |
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Provider Business Mailing Address
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Address Line | 912 OGLETHORPE DR NE
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City | BROOKHAVEN
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State | GA
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Zip | 30319
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Country | US
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Telephone | 678-768-5021
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN223515
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN223515
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License Number State | GA
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