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General NPI Number Information
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NPI Number | 1265054241
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Entity Type | Individual
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Provider Name | BRUCE WILLIAM CHAMBERS PHD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 2009 MACKENZIE WAY STE 100
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5338
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Country | US
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Telephone | 724-431-0220
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Fax | 724-602-4596
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Provider Business Mailing Address
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Address Line | 2009 MACKENZIE WAY STE 100
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5338
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Country | US
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Telephone | 724-431-0220
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Fax | 724-602-4596
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-3572-L
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License Number State | PA
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