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General NPI Number Information
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NPI Number | 1720718307
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Entity Type | Individual
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Provider Name | SPENCER BRIAN CHAMBERS M.D.,M.SC,B.ENG
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Gender | Male
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 268 GROSVENOR STREET ST. JOSEPH'S HEALTHCARE ROOM D1-201 C/O AMANDA CLOSE
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City | LONDON
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State | ONTARIO
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Zip | N6A 4V2
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Country | CA
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Telephone | 519-646-6326
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Fax |
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Provider Business Mailing Address
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Address Line | 268 GROSVNER STREET ST. JOSEPH'S HEALTHCARE ROOM D1-201 C/O AMANDA CLOSE
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City | LONDON
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State | ONTARIO
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Zip | N6A 4V2
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Country | CA
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 112833
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License Number State | ZZ
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