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General NPI Number Information
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NPI Number | 1497147110
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Entity Type | Individual
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Provider Name | CHRISTINE ANN CHAMBERS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 3202 MCINTOSH CIR STE LL03
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City | JOPLIN
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State | MO
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Zip | 64804-3646
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Country | US
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Telephone | 417-347-6400
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Fax | 417-347-6404
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Provider Business Mailing Address
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Address Line | PO BOX 3810
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City | JOPLIN
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State | MO
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Zip | 64803-3810
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Country | US
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Telephone | 417-347-6400
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Fax | 417-347-6404
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2015002159
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5376685121
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License Number State | KS
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