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General NPI Number Information
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NPI Number | 1710483524
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Entity Type | Individual
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Provider Name | CHANDRA MICHEL STANFORD ARNP,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 6580 165TH ST
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City | ALBIA
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State | IA
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Zip | 52531-8893
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Country | US
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Telephone | 641-932-1678
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Fax |
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Provider Business Mailing Address
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Address Line | 6580 165TH ST
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City | ALBIA
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State | IA
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Zip | 52531-8893
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Country | US
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Telephone | 641-932-1678
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Fax | 641-932-1643
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A129897
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License Number State | IA
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