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General NPI Number Information
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NPI Number | 1033406822
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Entity Type | Individual
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Provider Name | LOUISE KAY CHAMBERLIN MS, CCC-SLP, ATP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 7535 LITTLE RIVER TPKE # 101B
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City | ANNANDALE
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State | VA
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Zip | 22003-2991
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Country | US
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Telephone | 703-688-3142
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 SOUTHAMPTON DR
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City | ANNANDALE
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State | VA
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Zip | 22003-4336
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Country | US
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Telephone | 951-834-3365
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202008836
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP 19034
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP001229
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License Number State | DC
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