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General NPI Number Information
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NPI Number | 1447109665
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Entity Type | Individual
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Provider Name | LUKE CHAMBERS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 325 6TH AVE
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25303-1231
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Country | US
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Telephone | 304-720-3383
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Fax | 304-720-3781
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Provider Business Mailing Address
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Address Line | 325 6TH AVE
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25303-1231
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Country | US
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Telephone | 304-720-3383
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Fax | 304-720-3781
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-483198
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License Number State | WV
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