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General NPI Number Information
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NPI Number | 1003807272
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Entity Type | Individual
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Provider Name | GILBERT SEWELL CHANDLER III M.D
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Gender | Male
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 3334 CAPITAL MEDICAL BLVD STE 400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-8405
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Country | US
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Telephone | 850-877-8174
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Fax |
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Provider Business Mailing Address
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Address Line | 3334 CAPITAL MEDICAL BLVD STE 400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-8405
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Country | US
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Telephone | 850-877-8174
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Fax | 850-877-5636
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 035224
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME114083
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License Number State | FL
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