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General NPI Number Information
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NPI Number | 1861485427
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Entity Type | Individual
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Provider Name | JOE F CHANEY JR. OD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 119 W COLLEGE ST
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City | NASHVILLE
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State | AR
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Zip | 71852-2017
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Country | US
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Telephone | 870-845-2020
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Fax | 870-845-2020
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Provider Business Mailing Address
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Address Line | 119 W COLLEGE ST
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City | NASHVILLE
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State | AR
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Zip | 71852-2017
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Country | US
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Telephone | 870-845-2020
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Fax | 870-845-2020
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2259
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License Number State | AR
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