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General NPI Number Information
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NPI Number | 1184676801
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Entity Type | Individual
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Provider Name | THOMAS EUGENE CHAMBERS JR. DO
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 900 S GOLDENROD RD SUITE B
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City | ORLANDO
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State | FL
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Zip | 32822-8113
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Country | US
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Telephone | 407-275-1160
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Fax | 407-275-3991
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Provider Business Mailing Address
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Address Line | 900 S GOLDENROD RD SUITE B
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City | ORLANDO
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State | FL
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Zip | 32822-8113
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Country | US
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Telephone | 407-275-1160
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Fax | 407-275-3991
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS4276
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License Number State | FL
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