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General NPI Number Information
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NPI Number | 1346459385
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Entity Type | Organization
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Legal Business Name | CHAMBERLAND DENTISTRY PC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 1006 COLLOREDO BLVD
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City | SHELBYVILLE
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State | TN
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Zip | 37160
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Country | US
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Telephone | 931-684-9167
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Fax | 931-684-9633
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Provider Business Mailing Address
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Address Line | 1006 COLLOREDO BLVD
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City | SHELBYVILLE
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State | TN
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Zip | 37160
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Country | US
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Telephone | 931-684-9167
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Fax | 931-684-9633
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. PAM A CHAMBERLAND
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Credential | DDS
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Telephone | 931-684-9167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | DS0000007464
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License Number State | TN
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