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General NPI Number Information
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NPI Number | 1447812284
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Entity Type | Individual
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Provider Name | CHANDLER ROBERT MANN II OD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2019
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 20079 STONE OAK PKWY STE 1104
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6943
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Country | US
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Telephone | 830-205-2420
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Fax | 830-205-8122
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Provider Business Mailing Address
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Address Line | 20079 STONE OAK PKWY STE 1104
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6943
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Country | US
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Telephone | 830-205-2420
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Fax | 830-205-8122
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9800TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9800T
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License Number State | TX
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