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General NPI Number Information
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NPI Number | 1437331345
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Entity Type | Individual
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Provider Name | JUDITH CHAMBERLIN MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 17752 SKY PARK CIR SUITE 260
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City | IRVINE
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State | CA
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Zip | 92614-6419
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Country | US
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Telephone | 949-292-2092
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Fax | 949-587-2815
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Provider Business Mailing Address
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Address Line | 17752 SKY PARK CIR SUITE 260
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City | IRVINE
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State | CA
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Zip | 92614-6419
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Country | US
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Telephone | 949-292-2092
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Fax | 949-587-2815
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 26665
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License Number State | CA
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