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General NPI Number Information
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NPI Number | 1518220854
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Entity Type | Individual
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Provider Name | KARL M CHANDLER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 3D DENTAL BN/3MLG UNIT 38450
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City | FPO
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State | AP
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Zip | 96373
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Country | US
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Telephone | 315-645-2390
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 CAMBRIDGE ST SUITE 6510
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City | HOUSTON
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State | TX
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Zip | 77054-2008
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Country | US
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Telephone | 713-486-4125
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Fax | 713-486-4333
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 9201
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 019.031440
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License Number State | IL
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