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General NPI Number Information
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NPI Number | 1356656573
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Entity Type | Individual
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Provider Name | CECELIA SHIREEN CHAMBERLAIN AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 872 E FRANKLIN ST STE A
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City | CENTERVILLE
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State | OH
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Zip | 45459-5610
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Country | US
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Telephone | 937-435-0423
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Fax |
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Provider Business Mailing Address
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Address Line | 872A E. FRANKLIN ST.
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City | CENTERVILLE
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State | OH
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Zip | 45459-5610
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Country | US
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Telephone | 937-435-0423
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A01746
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License Number State | OH
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