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General NPI Number Information
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NPI Number | 1962190579
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Entity Type | Individual
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Provider Name | JESSICA J CHAMBERS DOO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 10921 REED HARTMAN HWY STE 324
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City | BLUE ASH
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State | OH
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Zip | 45242-2849
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Country | US
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Telephone | 513-996-0165
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Fax | 513-996-0166
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Provider Business Mailing Address
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Address Line | PO BOX 46245
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City | SPRINGDALE
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State | OH
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Zip | 45246-0245
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Country | US
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Telephone | 513-766-6950
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Fax | 513-996-0166
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | OH
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