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NPI Code Detail

MEDICARE: MRS. TRACY BOX CHIPPENDALE

MEDICARE: MRS. TRACY BOX CHIPPENDALE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistA0896MS

General Provider Information

NPI Number : 1831347996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRACY BOX CHIPPENDALE
Provider Business Mailing Address
First Line : 1038 RIVER OAKS DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9553
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1038 RIVER OAKS DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9553
Country : US
Telephone Number : 601-932-5244
Fax Number : 601-939-0545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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Directions to “ MRS. TRACY BOX CHIPPENDALE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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