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General NPI Number Information
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NPI Number | 1336457167
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Entity Type | Individual
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Provider Name | KARL CHAMBERS LMT / NMT
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 120 RALPH MCGILL BLVD NE #608
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City | ATLANTA
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State | GA
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Zip | 30308-3347
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Country | US
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Telephone | 770-899-7511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56092
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City | ATLANTA
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State | GA
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Zip | 30343-0092
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Country | US
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Telephone | 770-899-7511
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | MT002968
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | MT002968
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License Number State | GA
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