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General NPI Number Information
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NPI Number | 1396275665
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Entity Type | Organization
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Legal Business Name | ANAND-CHANDRA PLLC
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10827 W US HIGHWAY 290 STE 600
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City | AUSTIN
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State | TX
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Zip | 78736-7614
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Country | US
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Telephone | 512-646-4022
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Fax |
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Provider Business Mailing Address
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Address Line | 10827 W US HIGHWAY 290 STE 600
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City | AUSTIN
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State | TX
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Zip | 78736-7614
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Country | US
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Telephone | 512-646-4022
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AANCHAL CHANDRA
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Credential | DDS
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Telephone | 512-646-4022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 29012
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License Number State | TX
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