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General NPI Number Information
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NPI Number | 1508502402
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Entity Type | Organization
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Legal Business Name | CHAMBERS PERSONAL HOME HEALTH CARE SERVICES LLC.
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 06/23/2024
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Provider Practice Location Address
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Address Line | 204 PLAYERS CIR
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-1102
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Country | US
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Telephone | 404-492-1656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1875
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City | JONESBORO
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State | GA
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Zip | 30237-1875
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Country | US
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Telephone | 404-492-1656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JODIE M CHAMBERS
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Credential | MS HCA
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Telephone | 404-492-1656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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