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General NPI Number Information
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NPI Number | 1477123701
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Entity Type | Individual
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Provider Name | KAMIYAL SHAVONDAR CHAMBERS NA
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 7701 CREEKRIDGE RD APT 1005
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City | CHARLOTTE
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State | NC
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Zip | 28212-0175
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Country | US
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Telephone | 980-447-3070
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Fax | 704-448-2080
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Provider Business Mailing Address
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Address Line | 4919 ALBEMARLE RD STE 105
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City | CHARLOTTE
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State | NC
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Zip | 28205-6653
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Country | US
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Telephone | 980-447-3070
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Fax | 704-448-2050
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 330338
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License Number State | NC
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