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General NPI Number Information
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NPI Number | 1619228798
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Entity Type | Individual
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Provider Name | CHANDRA ANNE MCDONALD PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 23530 KINGSLAND BLVD STE 203
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City | KATY
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State | TX
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Zip | 77494-7466
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Country | US
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Telephone | 713-766-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 5929 BALCONES DR STE 200
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City | AUSTIN
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State | TX
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Zip | 78731-4280
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Country | US
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Telephone | 512-550-1800
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0003574
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA11049
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License Number State | TX
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