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General NPI Number Information
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NPI Number | 1750864401
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Entity Type | Organization
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Legal Business Name | CHANDLER BEHAVIORAL HEALTH INC.
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 1731 WALL STREET
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City | RICHMOND
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State | VA
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Zip | 23224-2322
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Country | US
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Telephone | 757-969-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 651 25TH ST APT 407
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City | NEWPORT NEWS
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State | VA
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Zip | 23607-4543
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Country | US
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Telephone | 757-969-7066
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHERRICE NICHOLE CHANDLER
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Credential | B.A. , QMHP-A/C
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Telephone | 757-969-7066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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