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General NPI Number Information
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NPI Number | 1982410973
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Entity Type | Individual
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Provider Name | MAURICE HAROLD CHAPMAN III
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Gender | Male
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 115 CHERRY ST NE
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City | MARIETTA
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State | GA
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Zip | 30060-7205
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Country | US
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Telephone | 770-793-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 BOB BETTIS RD
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City | MARIETTA
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State | GA
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Zip | 30066-5716
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Country | US
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Telephone | 919-348-1021
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN328064
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License Number State | GA
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