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General NPI Number Information
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NPI Number | 1942170410
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Entity Type | Individual
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Provider Name | DEBRA SUE CHANDLER
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 4115 GILES RD
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City | BELLEVUE
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State | NE
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Zip | 68147-1711
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Country | US
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Telephone | 402-933-0680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 939
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City | BELLEVUE
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State | NE
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Zip | 68005-0939
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Country | US
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Telephone | 402-933-0680
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-306305
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 53575
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License Number State | NE
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