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General NPI Number Information
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NPI Number | 1447060108
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Entity Type | Individual
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Provider Name | CARRIE CHAMBERS CSFA
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3 SAINT FRANCIS DR STE 360
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City | GREENVILLE
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State | SC
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Zip | 29601-3972
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Country | US
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Telephone | 864-233-4349
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Fax | 888-412-1280
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Provider Business Mailing Address
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Address Line | 191 TANYARD RD
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City | GREENVILLE
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State | SC
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Zip | 29609-6827
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Country | US
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Telephone | 251-490-3037
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 132983
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License Number State | SC
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