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General NPI Number Information
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NPI Number | 1477800100
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Entity Type | Individual
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Provider Name | CAROLYN CHANDLER N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 100 BINNEY ST
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City | CAMBRIDGE
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State | MA
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Zip | 02142-1096
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 978 WORCESTER ST
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City | WELLESLEY
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State | MA
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Zip | 02482-3709
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Country | US
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Telephone | 781-921-3042
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2278642
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License Number State | MA
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