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General NPI Number Information
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NPI Number | 1952524175
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Entity Type | Individual
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Provider Name | ANN CHAMBERLIN
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17 93RD ST
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City | KEENE
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State | NH
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Zip | 03431-3748
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Country | US
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Telephone | 603-283-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 34 WOODWARD RD
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City | WESTMORELAND
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State | NH
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Zip | 03467-4503
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Country | US
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Telephone | 603-399-7787
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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 |
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License Number State |
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