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NPI Code Detail

MEDICARE: MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN

MEDICARE: MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician523AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1106618OTHERAZAHCCCS

General Provider Information

NPI Number : 1013115997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN
Provider Business Mailing Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-620-6709
Fax Number : 520-620-1994
Provider Business Practice Location Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-620-6709
Fax Number : 520-620-1994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN” Practice Location

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