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General NPI Number Information
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NPI Number | 1578836722
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Entity Type | Organization
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Legal Business Name | NELSON P. CHAMBLESS MD PA
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 9000 SW 87TH CT SUITE 217
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City | MIAMI
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State | FL
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Zip | 33176-2231
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Country | US
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Telephone | 305-598-3437
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 SW 87TH CT SUITE 217
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City | MIAMI
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State | FL
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Zip | 33176-2231
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Country | US
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Telephone | 305-598-3437
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NELSON P CHAMBLESS
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Credential | MD
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Telephone | 305-598-3437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME0049773
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License Number State | FL
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