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General NPI Number Information
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NPI Number | 1053902791
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Entity Type | Individual
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Provider Name | ERIN CHANDLER FNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 140 W CENTER ST
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City | ACKERMAN
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State | MS
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Zip | 39735-9017
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Country | US
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Telephone | 662-285-9002
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Fax | 662-285-9012
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Provider Business Mailing Address
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Address Line | 67 STONE RIDGE RD
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City | STARKVILLE
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State | MS
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Zip | 39759-5052
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904100
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License Number State | MS
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