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General NPI Number Information
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NPI Number | 1134736010
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Entity Type | Organization
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Legal Business Name | CHANDLER EYE CARE SPECIALISTS PC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | MOB II SUITE226, 8266 ATLEE ROAD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-1806
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Country | US
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Telephone | 804-944-6064
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Fax | 804-362-7214
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | MECHANICSVILLE
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State | VA
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Zip | 23111
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Country | US
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Telephone | 804-944-6064
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Fax | 804-362-7214
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Authorized Official
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Title or Position | M.D. / AUTHORIZED OFFICIAL
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Name | DAVID CHANDLER
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Credential |
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Telephone | 804-944-6064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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