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NPI 1114127255

NPI 1114127255 : PAMELA GRIMM CHAMBERS L.P.C. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1114127255
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA GRIMM CHAMBERS L.P.C.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/18/2007
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    Last Update Date     |    07/18/2007
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Provider Practice Location Address
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    Address Line         |    11111 N SCOTTSDALE RD SUITE 205
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-6701
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    Country              |    US
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    Telephone            |    480-619-4399
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9614 E WINDROSE DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-4609
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    Country              |    US
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    Telephone            |    480-703-0606
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    Fax                  |    480-203-2784
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC 10937
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    License Number State |    AZ
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