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General NPI Number Information
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NPI Number | 1023047446
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Entity Type | Individual
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Provider Name | JAMES C CHANEY A.R.N.P.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/03/2014
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Provider Practice Location Address
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Address Line | 2 SUGARBOWL LANE
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City | PENSACOLA BEACH
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State | FL
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Zip | 32561
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Country | US
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Telephone | 850-418-2128
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Fax | 850-916-0788
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Provider Business Mailing Address
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Address Line | PO BOX 244
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City | GONZALEZ
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State | FL
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Zip | 32560-0244
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Country | US
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Telephone | 850-623-2948
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Fax | 850-626-2734
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2210632
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License Number State | FL
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