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General NPI Number Information
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NPI Number | 1366461741
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Entity Type | Individual
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Provider Name | COBRA CHAMBLEE DO
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 810 W BRAMLEY ST
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City | JETMORE
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State | KS
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Zip | 67854-9320
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Country | US
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Telephone | 620-357-8354
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Fax | 620-357-6460
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Provider Business Mailing Address
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Address Line | PO BOX 310
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City | JETMORE
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State | KS
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Zip | 67854-0310
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Country | US
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Telephone | 620-357-8361
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Fax | 620-357-6134
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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 | K8686
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS17772
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0550484
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License Number State | KS
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