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General NPI Number Information
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NPI Number | 1861616567
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Entity Type | Organization
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Legal Business Name | RONALD G CHAMBERS INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 4174 ASHBY CT
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City | SHASTA LAKE
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State | CA
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Zip | 96019-9215
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Country | US
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Telephone | 530-275-3094
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Fax | 530-275-0803
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Provider Business Mailing Address
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Address Line | 4174 ASHBY CT
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City | SHASTA LAKE
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State | CA
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Zip | 96019-9215
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Country | US
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Telephone | 530-275-3094
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Fax | 530-275-0803
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Authorized Official
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Title or Position | PRESIDENT, CORPORATION
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Name | DR. RONALD G CHAMBERS SR.
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Credential | M.D.
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Telephone | 530-275-3094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G27170
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License Number State | CA
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