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General NPI Number Information
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NPI Number | 1538359831
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Entity Type | Organization
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Legal Business Name | BRADLEY-POLK OB/GYN SERVICES P.C.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 55 25TH ST NW
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City | CLEVELAND
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State | TN
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Zip | 37311-3830
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Country | US
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Telephone | 423-476-4506
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Fax | 423-478-2154
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Provider Business Mailing Address
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Address Line | 55 25TH ST NW
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City | CLEVELAND
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State | TN
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Zip | 37311-3830
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Country | US
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Telephone | 423-476-4506
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Fax | 423-478-2154
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN W CHAMBERS SR.
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Credential | MD
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Telephone | 423-476-4506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD6506
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License Number State | TN
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