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General NPI Number Information
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NPI Number | 1275020943
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Entity Type | Individual
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Provider Name | EMILY ANN CHANDLER FNP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 10 E 13TH ST
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City | GROVE
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State | OK
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Zip | 74344-5300
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Country | US
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Telephone | 918-786-1909
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Fax | 918-787-3866
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Provider Business Mailing Address
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Address Line | 5300 N INDEPENDENCE AVE STE 280
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5555
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Country | US
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Telephone | 918-786-1909
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Fax | 918-787-3866
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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 | 97251
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License Number State | OK
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