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General NPI Number Information
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NPI Number | 1417849894
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Entity Type | Organization
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Legal Business Name | GILBERT CHANDLER PSYCHIATRISTS INC
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2730 S VAL VISTA DR, BLDG 8N-STE145
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City | GILBERT
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State | AZ
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Zip | 85295-1675
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Country | US
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Telephone | 480-631-4479
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 N SCOTTSDALE RD STE 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-7076
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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 | DIRECTOR
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Name | DR. GREG WONG
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Credential | MD
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Telephone | 480-631-4479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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