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General NPI Number Information
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NPI Number | 1629090832
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Entity Type | Individual
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Provider Name | MADELENE B CHANDLER LPA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 707 E MAIN ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2337
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Country | US
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Telephone | 270-901-5000
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Fax | 270-842-6553
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Provider Business Mailing Address
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Address Line | 922 STATE ST P O BOX 6499
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2233
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Country | US
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Telephone | 270-901-5000
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Fax | 270-842-5268
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0050
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License Number State | KY
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