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General NPI Number Information
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NPI Number | 1619306867
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Entity Type | Individual
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Provider Name | LEE R CHAMBERS LCSW, MAC,CAADC, RAS
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Gender | Male
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 341 MARGIE DR STE 3A
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City | WARNER ROBINS
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State | GA
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Zip | 31088
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Country | US
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Telephone | 478-832-9442
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Fax | 229-299-0993
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Provider Business Mailing Address
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Address Line | 401 OBRIEN DR
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City | KATHLEEN
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State | GA
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Zip | 31047-5351
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Country | US
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Telephone | 478-832-9442
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Fax | 229-299-0993
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C1303150905
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 509319
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C0157
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.1200490
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8277
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW005857
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License Number State | GA
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