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General NPI Number Information
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NPI Number | 1154926194
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Entity Type | Individual
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Provider Name | SIMONE E CHAMBERS RPH
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 15027 HIGHWAY 6
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City | ROSHARON
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State | TX
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Zip | 77583-3262
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Country | US
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Telephone | 281-431-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 4027 AERIAL BROOK TRL
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City | FRESNO
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State | TX
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Zip | 77545-7137
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Country | US
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Telephone | 281-898-5454
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 65539
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License Number State | TX
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