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General NPI Number Information
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NPI Number | 1528581766
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Entity Type | Individual
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Provider Name | AMANDA MICHELE CHANDLER
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Gender | Female
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 2634 CAPITAL CIRCLE N.E.
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City | TALLAHASSEE
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State | FL
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Zip | 32312
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Country | US
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Telephone | 850-523-3333
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Fax | 850-523-3467
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Provider Business Mailing Address
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Address Line | 2634 CAPITAL CIR NE BLDG G
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4106
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Country | US
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Telephone | 850-523-3333
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Fax | 850-523-3467
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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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