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General NPI Number Information
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NPI Number | 1154813954
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Entity Type | Individual
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Provider Name | CHANDLER JEAN JONES DMD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2018
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 315 MINER AVE W
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City | LADYSMITH
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State | WI
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Zip | 54848-1725
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Country | US
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Telephone | 715-532-2500
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Fax | 715-532-9606
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Provider Business Mailing Address
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Address Line | 1307 N SAINT JOSEPH AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-1340
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Country | US
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Telephone | 715-221-5600
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Fax | 715-221-5688
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1001844-15
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License Number State | WI
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