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General NPI Number Information
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NPI Number | 1538384995
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Entity Type | Organization
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Legal Business Name | CHAMBERLAIN CHIROPRACTIC CLINIC INC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 4409 CENTRAL AVE PK SUITE 102
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City | KNOXVILLE
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State | TN
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Zip | 37912
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Country | US
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Telephone | 865-687-0474
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Fax | 865-687-6333
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Provider Business Mailing Address
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Address Line | 4409 CENTRAL AVE PK STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37912
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Country | US
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Telephone | 865-687-0474
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Fax | 865-687-6333
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Authorized Official
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Title or Position | DOCTOR AND PRESIDENT
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Name | DR. DAVID ALLEN CHAMBERLAIN
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Credential | DC
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Telephone | 865-687-0474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC0000000110
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License Number State | TN
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