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General NPI Number Information
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NPI Number | 1831515022
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Entity Type | Individual
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Provider Name | LISA MARIE CHANDONAIS AU.D.
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Gender | Female
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 541 CLEVER RD
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1068
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Country | US
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Telephone | 412-239-9148
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Fax |
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Provider Business Mailing Address
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Address Line | 114 WALNUT DR
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City | MC KEES ROCKS
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State | PA
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Zip | 15136-1350
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Country | US
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Telephone | 586-405-3049
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT006313
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License Number State | PA
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