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General NPI Number Information
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NPI Number | 1821023003
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Entity Type | Individual
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Provider Name | MICHAEL J CHANEY MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 211 RANCH ROAD 620 S STE 130
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City | LAKEWAY
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State | TX
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Zip | 78734-3966
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Country | US
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Telephone | 512-614-4111
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Fax | 512-614-4183
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Provider Business Mailing Address
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Address Line | 2935 THOUSAND OAKS DR STE 294
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City | SAN ANTONIO
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State | TX
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Zip | 78247-3563
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Country | US
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Telephone | 210-494-1100
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Fax | 210-494-1117
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | E4248
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | E4248
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | E4248
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License Number State | TX
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