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General NPI Number Information
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NPI Number | 1245915271
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Entity Type | Individual
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Provider Name | CHANDRA R TATE FNP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 537 W SUGAR CREEK RD STE 201
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City | CHARLOTTE
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State | NC
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Zip | 28213-6103
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Country | US
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Telephone | 704-979-8210
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Fax |
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Provider Business Mailing Address
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Address Line | 14310 PINTAIL LANDING LN
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City | CHARLOTTE
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State | NC
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Zip | 28278-7422
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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 | TATE-667N0
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License Number State | NC
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