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Individual
TRACY CHAPMAN
Active
Individual
TRACY CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101019501
MI
208000000X
Pediatrics Physician
Primary
OS12891
FL
Other
Enumeration date
07/20/2011
Last updated
01/28/2016
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