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General NPI Number Information
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NPI Number | 1639495088
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Entity Type | Individual
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Provider Name | SHAMEKA HARLEY CHAMBERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 2407 SIMONTON RD
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City | STATESVILLE
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State | NC
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Zip | 28625-8247
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Country | US
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Telephone | 843-412-2182
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | BARIUM SPRINGS
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State | NC
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Zip | 28010-0152
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Country | US
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Telephone | 843-412-2182
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006456
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License Number State | NC
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