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Individual
DR. TARAH CHAMBERLAIN
Active
Individual
DR. TARAH CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15755A
WY
207Q00000X
Family Medicine Physician
Primary
20A10885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15755A
WY LICENSE
WY
Enumeration date
11/08/2010
Last updated
12/11/2025
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