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General NPI Number Information
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NPI Number | 1760432363
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Entity Type | Individual
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Provider Name | DONALD HEASTON CHAMBERLAIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 1000 E 3RD ST SUITE 201
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2106
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Country | US
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Telephone | 423-698-2050
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Fax | 423-698-2095
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Provider Business Mailing Address
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Address Line | 1000 E 3RD ST SUITE 201
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2106
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Country | US
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Telephone | 423-698-2050
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Fax | 423-698-2095
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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 | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 01078802A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 45182
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 30309
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License Number State | TN
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