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General NPI Number Information
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NPI Number | 1689893760
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Entity Type | Organization
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Legal Business Name | CHANDLER CHIROPRACTIC P.A.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 2023 E. MAIN ST. STE. C
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-5504
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Country | US
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Telephone | 479-524-5555
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Fax | 479-524-8054
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Provider Business Mailing Address
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Address Line | 2023 E. MAIN ST. STE. C
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-5504
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Country | US
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Telephone | 479-524-5555
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Fax | 479-524-8054
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. DENISE A CHANDLER
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Credential | DC
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Telephone | 479-524-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 1384
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License Number State | AR
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