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General NPI Number Information
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NPI Number | 1902260045
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Entity Type | Individual
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Provider Name | NICHOLAS CHAMBERLAIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1438 W PEACHTREE ST NW
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City | ATLANTA
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State | GA
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Zip | 30309-2955
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Country | US
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Telephone | 470-283-7349
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Fax | 833-689-2507
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Provider Business Mailing Address
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Address Line | 1438 W PEACHTREE ST NW
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City | ATLANTA
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State | GA
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Zip | 30309-2955
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Country | US
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Telephone | 470-283-7349
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Fax | 833-689-2507
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25395
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25395
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 89096
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License Number State | GA
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