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General NPI Number Information
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NPI Number | 1760573992
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Entity Type | Individual
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Provider Name | LEE ANN CHAMBERS D.PH.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 510 HIGHWAY 76
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City | WHITE HOUSE
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State | TN
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Zip | 37188-9203
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Country | US
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Telephone | 615-672-3905
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Fax | 615-672-4210
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Provider Business Mailing Address
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Address Line | 179 GUILL LN
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City | COTTONTOWN
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State | TN
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Zip | 37048-5020
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Country | US
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Telephone | 615-672-5989
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6816
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License Number State | TN
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