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General NPI Number Information
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NPI Number | 1952346785
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Entity Type | Individual
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Provider Name | TAMARA ANN CHAMBLESS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 193 FAIRVIEW LN STE K
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City | SONORA
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State | CA
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Zip | 95370-4828
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Country | US
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Telephone | 209-536-5144
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Fax |
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Provider Business Mailing Address
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Address Line | 718 S LEMON ST
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City | ANAHEIM
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State | CA
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Zip | 92805-4626
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Country | US
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Telephone | 720-256-5384
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 43903
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0043903
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C136173
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License Number State | CA
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