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General NPI Number Information
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NPI Number | 1073616140
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Entity Type | Organization
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Legal Business Name | CHANDLER EYE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 419 N MAIN ST
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City | HONEA PATH
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State | SC
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Zip | 29654-1430
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Country | US
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Telephone | 864-369-2257
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 205
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City | HONEA PATH
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State | SC
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Zip | 29654-0205
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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 | PRESIDENT
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Name | DR. STEVE RANDALL CHANDLER
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Credential | O.D.
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Telephone | 864-369-2257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 685
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License Number State | SC
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