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General NPI Number Information
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NPI Number | 1639845605
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Entity Type | Individual
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Provider Name | CAMDEN CHANDLER
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Gender | Female
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Dates
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Enumeration Date | 08/19/2021
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 222 AUBURN ST STE 103
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City | PORTLAND
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State | ME
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Zip | 04103-6005
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Country | US
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Telephone | 207-616-1127
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Fax |
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Provider Business Mailing Address
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Address Line | 112 TITAN DR
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City | FLORENCE
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State | AL
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Zip | 35630-1197
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Country | US
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Telephone | 256-275-7089
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15584
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License Number State | TN
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