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Individual
AMANDA CHANEY
Active
Individual
AMANDA CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34012464
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
34.012464
OH
Other
Enumeration date
04/17/2014
Last updated
07/06/2018
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