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NPI 1881059848

NPI 1881059848 : JOSHUA CHAMBERS DPT : ENCINO, CA

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General NPI Number Information
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    NPI Number           |    1881059848
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA CHAMBERS DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/17/2015
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    Last Update Date     |    12/17/2015
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Provider Practice Location Address
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    Address Line         |    5353 BALBOA BLVD STE 202 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91316-2889
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    Country              |    US
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    Telephone            |    818-986-4100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17801 DONMETZ ST 
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    City                 |    GRANADA HILLS
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    State                |    CA
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    Zip                  |    91344-4013
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    Country              |    US
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    Telephone            |    719-671-1942
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    43514
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    License Number State |    CA
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