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General NPI Number Information
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NPI Number | 1477874873
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Entity Type | Individual
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Provider Name | ANDREW WILLIAM CHAMBERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2010
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD PAVILION 2, SUITE 431
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-947-3248
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Fax | 214-947-3686
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Provider Business Mailing Address
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Address Line | 221 W COLORADO BLVD PAVILION 2, SUITE 431
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-947-3248
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Fax | 214-947-3686
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10037389
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | Q0422
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 261836
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License Number State | MA
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