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Individual
TAMARA K CHANDLER
Active
Individual
TAMARA K CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35 094352
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2996656
—
OH
01
—
4278631
MEDICARE ID
OH
Enumeration date
07/04/2006
Last updated
11/28/2011
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