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General NPI Number Information
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NPI Number | 1386702454
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Entity Type | Individual
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Provider Name | DAYLENE CHANDLER MS, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 410 OUACHITA ST OBU BOX 3732
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City | ARKADELPHIA
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State | AR
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Zip | 71998-0001
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Country | US
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Telephone | 870-245-4187
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Fax |
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Provider Business Mailing Address
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Address Line | 18798 E 52ND AVE
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City | DENVER
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State | CO
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Zip | 80249-8290
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Country | US
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Telephone | 720-363-2450
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT 241
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License Number State | AR
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