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General NPI Number Information
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NPI Number | 1477403046
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Entity Type | Individual
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Provider Name | CHANCE DENSFORD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 120 SAINT LOUIS AVE
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City | SEYMOUR
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State | IN
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Zip | 47274-2304
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Country | US
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Telephone | 812-405-1857
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Fax | 812-954-5022
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Provider Business Mailing Address
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Address Line | 822 E CROTHERSVILLE RD
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City | AUSTIN
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State | IN
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Zip | 47102-8028
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Country | US
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Telephone | 812-530-7319
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26026780A
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License Number State | IN
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