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General NPI Number Information
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NPI Number | 1538051636
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Entity Type | Organization
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Legal Business Name | BENJAMIN CHANDLER MD
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 871 ETHAN ALLEN HWY STE 102
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City | RIDGEFIELD
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State | CT
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Zip | 06877-2811
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Country | US
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Telephone | 203-309-6283
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Fax |
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Provider Business Mailing Address
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Address Line | 777 POST RD STE 304
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City | DARIEN
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State | CT
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Zip | 06820-4721
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN CHANDLER
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Credential | MD
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Telephone | 203-309-6283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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