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General NPI Number Information
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NPI Number | 1326229782
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Entity Type | Individual
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Provider Name | CARRIE ANN CHANDLER APRN FNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 8706 S 700 E STE 203
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City | SANDY
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State | UT
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Zip | 84070-1809
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Country | US
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Telephone | 801-572-0043
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Fax | 866-221-9417
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Provider Business Mailing Address
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Address Line | 2443 E BARCELONA DR
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City | SANDY
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State | UT
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Zip | 84093-1148
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Country | US
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Telephone | 801-598-7306
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Fax | 801-572-2953
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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 | 1968954405
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License Number State | UT
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