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General NPI Number Information
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NPI Number | 1558488718
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Entity Type | Organization
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Legal Business Name | KIRK A. CHANDLER, DO PA
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 929 S. MAIN B
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City | ANTHONY
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State | TX
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Zip | 79821
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Country | US
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Telephone | 915-886-4577
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Fax | 915-886-4579
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Provider Business Mailing Address
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Address Line | 8001 N MESA ST SUITE E BOX 304
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City | EL PASO
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State | TX
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Zip | 79932-1736
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Country | US
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Telephone | 915-886-4577
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Fax | 915-886-4579
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Authorized Official
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Title or Position | DO PA
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Name | KIRK A CHANDLER
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Credential | D. O.
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Telephone | 915-886-4577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F3429
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License Number State | TX
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