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General NPI Number Information
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NPI Number | 1144012139
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Entity Type | Individual
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Provider Name | RENEE MICHELLE CHAMBERS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4177 W SHAW AVE STE 107
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City | FRESNO
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State | CA
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Zip | 93722-6221
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Country | US
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Telephone | 559-225-4706
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Fax |
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Provider Business Mailing Address
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Address Line | 199 W SHIELDS AVE
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City | FRESNO
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State | CA
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Zip | 93705-4102
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Country | US
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Telephone | 559-225-4706
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95037739
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95393670
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License Number State | CA
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