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General NPI Number Information
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NPI Number | 1487411492
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Entity Type | Individual
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Provider Name | TIMOTHY RAY CHANDLER LPN
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Gender | Male
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 613 N 4TH ST
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City | TECUMSEH
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State | OK
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Zip | 74873-2005
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Country | US
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Telephone | 405-370-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N WALKER AVE STE 190
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1896
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Country | US
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Telephone | 405-370-4031
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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