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General NPI Number Information
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NPI Number | 1538139621
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Entity Type | Individual
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Provider Name | GARY CHAMBERS DPM
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 227 N WESTWOOD BLVD
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City | PRICE
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State | UT
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Zip | 84501-5500
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Country | US
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Telephone | 801-253-6886
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Fax | 801-253-6888
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Provider Business Mailing Address
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Address Line | 9980 S 300 W STE 300
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City | SANDY
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State | UT
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Zip | 84070-3654
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Country | US
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Telephone | 801-273-0001
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Fax | 385-900-5928
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 12986038-0501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0001
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 12986038-0501
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License Number State | UT
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