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General NPI Number Information
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NPI Number | 1962011783
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Entity Type | Individual
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Provider Name | CHANDLER PAIGE MCPHAIL DDS
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Gender | Female
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 25 N ROCKWELL AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6112
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Country | US
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Telephone | 405-782-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 SW 26TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73128-4936
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Country | US
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Telephone | 817-781-6115
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7348
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License Number State | OK
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