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General NPI Number Information
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NPI Number | 1972785806
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Entity Type | Organization
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Legal Business Name | T&T CHANDLER ASSOCIATES IN DENTISTRY
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 2040 S ALMA SCHOOL RD STE 21
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City | CHANDLER
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State | AZ
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Zip | 85286-7077
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Country | US
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Telephone | 480-814-1333
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Fax | 480-814-7737
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Provider Business Mailing Address
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Address Line | 2040 S ALMA SCHOOL RD STE 21
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City | CHANDLER
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State | AZ
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Zip | 85286-7077
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Country | US
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Telephone | 480-814-1333
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Fax | 480-814-7737
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIM TAYLOR
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Credential | D.D.S.
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Telephone | 480-814-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4474
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License Number State | AZ
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