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General NPI Number Information
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NPI Number | 1023186038
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Entity Type | Individual
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Provider Name | LINDA PETERSON CHAMBERS FNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 1493 HIGHWAY 17
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City | CAMDEN
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State | MS
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Zip | 39045-9524
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Country | US
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Telephone | 662-468-2015
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Fax | 662-468-2015
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | SHARON
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State | MS
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Zip | 39163-0029
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Country | US
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Telephone | 662-468-2015
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Fax | 844-270-1119
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R860655
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License Number State | MS
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