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General NPI Number Information
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NPI Number | 1114951571
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Entity Type | Individual
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Provider Name | NANCY DEIHL CHANDLER MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 801 W MAPLE ST
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City | FARMINGTON
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State | NM
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Zip | 87401-5630
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Country | US
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Telephone | 505-609-6228
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Fax | 505-327-4887
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Provider Business Mailing Address
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Address Line | PO BOX 2019
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City | FARMINGTON
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State | NM
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Zip | 87499-2019
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Country | US
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Telephone | 505-325-1572
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Fax | 505-327-4887
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17816
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2020-1190
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License Number State | NM
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